Active NPI
D. Kundra D.D.S. Inc
Doing business as Blue Rock Dental
- Dentist
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55871
- Legal business name
- D. KUNDRA D.D.S. INC
- Doing business as
- Blue Rock Dental
- Practice address
- 70 N El Camino Real
Suite B
San Mateo, CA 94401-7500 - Phone
- (650) 685-1400
- Fax
- (650) 685-1401
- NPI assigned
- Nov 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darpan Kundra, DDS
- Title
- President/Owner
- Phone
- (650) 274-6754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55871 | CA | Primary |
Addresses
Primary practice location
70 N El Camino Real
Suite B
San Mateo, CA 94401-7500
Mailing address
6248 Pebble Beach Dr
Vallejo, CA 94591-6300
Phone (650) 274-6754
Other names 1
- Blue Rock Dental
National Provider Directory
National Provider Directory- Tax ID family
- Blue Rock Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Petaluma Dental Associates
- General Practice Dentistry
- Petaluma, CA
- NPI 1114163227
Locations
70 N El Camino Real
Ste B
San Mateo, CA 94401
Phone (650) 286-4288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Vallejo, CA
- NPI 1417143868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385078400000",
"number": "1760812119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6248 PEBBLE BEACH DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916300",
"telephone_number": "650-274-6754",
"fax_number": "650-685-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N EL CAMINO REAL",
"address_2": "SUITE B",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944017500",
"telephone_number": "650-685-1400",
"fax_number": "650-685-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D. KUNDRA D.D.S. INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A",
"authorized_official_last_name": "KUNDRA",
"authorized_official_first_name": "DARPAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "650-274-6754",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "55871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Rock Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.