NPIMap

Organization Active NPI

Sanjay Kumar Vanjarapu DDS PC

Doing business as Smile Designs Dentistry

  • Dental Clinic/Center
  • Pleasanton, CA
National Provider Identifier
1770138968
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANJAY KUMAR VANJARAPU DDS PC
Doing business as
Smile Designs Dentistry
Practice address
6280 W Las Positas Blvd Ste 215
Pleasanton, CA 94588-4940
Phone
(925) 234-4421
Fax
(925) 237-9019
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SANJAY KUMAR VANJARAPU DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sanjay Kumar Vanjarapu, DDS
Title
Dentist
Phone
(209) 780-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6280 W Las Positas Blvd Ste 215
Pleasanton, CA 94588-4940

Mailing address

6280 W Las Positas Blvd Ste 215
Pleasanton, CA 94588-4940
Phone (925) 234-4421

Other identifiers 1

IdentifierTypeStateIssuer
1215389069MedicaidCA

Other names 1

  • Smile Designs Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanjay Kumar Vanjarapu DDS PC2 organizations share this tax ID, including this one
Part of
Sanjay Kumar Vanjarapu DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1770138968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 W LAS POSITAS BLVD STE 215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884940",
            "telephone_number": "925-234-4421",
            "fax_number": "925-237-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 W LAS POSITAS BLVD STE 215",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884940",
            "telephone_number": "925-234-4421",
            "fax_number": "925-237-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY KUMAR VANJARAPU DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANJAY KUMAR VANJARAPU DDS PC",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "VANJARAPU",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-780-4777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215389069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Designs Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.