Individual provider Active NPI

Atul Chauhan Sood, DMD

  • General Practice Dentistry
  • Brentwood, CA
National Provider Identifier
1790408359
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108059 Issued in CA
Practice address
6660 Lone Tree Way Ste 7
Brentwood, CA 94513-5310
Phone
(925) 513-8363
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 108059 CA Primary

Addresses

Primary practice location

6660 Lone Tree Way Ste 7
Brentwood, CA 94513-5310

Mailing address

2752 Lahontan Way
Dublin, CA 94568-4922
Phone (412) 616-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001986 CA Order and Referring Only - DentistPractitioner - Dentist 0749651214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108059CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atul Chauhan Sood, DMD, MDS Inc General Practice Current Accepting new patients
Pacific Dental Services PastSince Sep 25, 2022 Accepting new patients
Amardeep Gill, D.D.S., Inc. PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1790408359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 LAHONTAN WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684922",
            "telephone_number": "412-616-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY STE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135310",
            "telephone_number": "925-513-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "ATUL",
        "middle_name": "CHAUHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.