Active NPI
Seema Prasad Deshmukh, D.D.S.
- Dentist
- Stockton, CA
National Provider Identifier
1780864231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56494
- Practice address
- 1407 W March LN
Stockton, CA 95207-6111 - Phone
- (209) 473-4000
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56494 | CA | Primary |
Addresses
Primary practice location
1407 W March LN
Stockton, CA 95207-6111
Mailing address
3438 Browntail Way
San Ramon, CA 94582-5244
Phone (925) 918-2817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56494 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | Accepting new patients | |
| Western Dental | Dentist | Past | Accepting new patients |
Interoperability endpoints
- sdeshmukh@direct.westerndental.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Stockton, CA
- NPI 1144620923
-
- General Practice Dentistry
- Stockton, CA
- NPI 1396898532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1780864231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3438 BROWNTAIL WAY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825244",
"telephone_number": "925-918-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076111",
"telephone_number": "209-473-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "SEEMA",
"middle_name": "PRASAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.