Individual provider Active NPI

Yogita Thakur, DDS

  • Pediatric Dentistry
  • E Palo Alto, CA
National Provider Identifier
1821300138
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
57319 Issued in CA
Practice address
1807 Bay Rd.
E Palo Alto, CA 94303-1312
Phone
(650) 289-7710
Fax
(650) 853-1018
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 57319 CA
Pediatric Dentistry 1223P0221X 57319 CA Primary

Addresses

Primary practice location

1807 Bay Rd.
E Palo Alto, CA 94303-1312

Mailing address

1807 Bay Rd
East Palo Alto, CA 94303-1312
Phone (650) 289-7710

Other names 1

  • Dr. Yogita Butani Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003171 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3476861634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57319CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Dec 25, 2015 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Aug 25, 2015 Accepting new patients
Stanford Health Care CurrentSince Dec 25, 2015 Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
South County Community Health Center, Inc. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

730 Welch Rd
Palo Alto, CA 94304
Phone (650) 723-4800

1000 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8856

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 7

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1821300138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 BAY RD",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031312",
            "telephone_number": "650-289-7710",
            "fax_number": "650-853-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 BAY RD.",
            "city": "E PALO ALTO",
            "state": "CA",
            "postal_code": "943031312",
            "telephone_number": "650-289-7710",
            "fax_number": "650-853-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "YOGITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "57319",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOGITA",
            "last_name": "BUTANI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in E Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.