Chaitanya Dental Care Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DDS61623 Issued in CA

Legal business name

CHAITANYA DENTAL CARE INC

Practice address

43693 Mission Blvd
Fremont, CA 94539-5832

Phone

(408) 332-4273

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Chaitanya Bandarupalli, DDSNPI 1770839136

Title

Ceo

Phone

(408) 332-4273

Specialties & licenses 1

Addresses

Other names 1

• Mission Ridge Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaitanya Bandarupalli, DDS

  • Dentist
  • Fremont, CA
  • NPI 1770839136
  NPD (past) Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1790283935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40745 CHILTERN DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393703",
            "telephone_number": "408-332-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43693 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395832",
            "telephone_number": "408-332-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAITANYA DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BANDARUPALLI",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-332-4273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DDS61623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Ridge Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Helena Cesena, CCC/SLP
• Nutan Chadha, M.D.
• Pawan Chadha, M.D.
• Sonia S Chahal, PA-C
• Chai-Kiong Lau, M.D. Inc
• Indranushi Chaliha, MD, MPH
• Sally Chalikonda, OTR/L
• Theresa Chamran
• Hebert Chan Ching, DDS
• Jadah Isabella Chan Quezada

• Dental Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.