NPIMap

Organization Active NPI

Mudita Agrawal DDS Inc

  • Dental Clinic/Center
  • Redwood City, CA
National Provider Identifier
1831733211
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MUDITA AGRAWAL DDS INC
Practice address
3752 Florence St
Redwood City, CA 94063-4418
Phone
(650) 780-9429
Fax
(650) 780-9451
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Mudita AgrawalNPI 1932625126
Title
Dentist
Phone
(801) 647-1795

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3752 Florence St
Redwood City, CA 94063-4418

Mailing address

3752 Florence St
Redwood City, CA 94063-4418
Phone (650) 780-9429

National Provider Directory

National Provider Directory

Locations

3752 Florence St
Redwood City, CA 94063
Phone (650) 780-9429

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1831733211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 FLORENCE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634418",
            "telephone_number": "650-780-9429",
            "fax_number": "650-780-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 FLORENCE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634418",
            "telephone_number": "650-780-9429",
            "fax_number": "650-780-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDITA AGRAWAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "MUDITA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-647-1795",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.