NPIMap

Organization Active NPI

Sucheta Amanjee DDS Inc

Doing business as Tooth Fairy Dental Center

  • Pediatric Dentistry
  • Vacaville, CA
National Provider Identifier
1780024026
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
53573 Issued in CA
Legal business name
SUCHETA AMANJEE DDS INC
Doing business as
Tooth Fairy Dental Center
Practice address
141 Parker St Ste B
Vacaville, CA 95688-3921
Phone
(707) 450-1002
NPI assigned
Jul 1, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Sucheta Amanjee, DDSNPI 1235272105
Title
Owner
Phone
(707) 450-1002

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 53573 CA Primary

Addresses

Primary practice location

141 Parker St Ste B
Vacaville, CA 95688-3921

Mailing address

141 Parker St Ste B
Vacaville, CA 95688-3921
Phone (707) 450-1002

Other names 1

  • TOOTH FAIRY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sucheta Amanjee DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1780024026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PARKER ST STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883921",
            "telephone_number": "707-450-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKER ST STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883921",
            "telephone_number": "707-450-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCHETA AMANJEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "AMANJEE",
        "authorized_official_first_name": "SUCHETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-450-1002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOOTH FAIRY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.