Individual provider Active NPI

Dipti Ramling Shinde, D.D.S., B.D.S.

  • Dentist
  • Hayward, CA
National Provider Identifier
1831840487
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS107241 Issued in CA
Practice address
20483 Hesperian Blvd
Hayward, CA 94541-4705
Phone
(510) 731-0124
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS107241 CA Primary

Addresses

Primary practice location

20483 Hesperian Blvd
Hayward, CA 94541-4705

Mailing address

2140 S Shore Ctr
Alameda, CA 94501-8043
Phone (510) 214-0253

Other practice location 1

8105 Edgewater Dr Ste 250
Oakland, CA 94621-2017
Phone (510) 568-6272

Other practice location 2

2140 S Shore Ctr
Alameda, CA 94501-8043
Phone (510) 214-0253

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

LicenseStateTypeSpecialty
DDS107241CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Erick N Cuenca DMD Inc General Practice Past Accepting new patients
Erick N Cuenca, DMD, Inc General Practice PastSince Sep 11, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1831840487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 S SHORE CTR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945018043",
            "telephone_number": "510-214-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20483 HESPERIAN BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414705",
            "telephone_number": "510-731-0124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 Edgewater Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212017",
            "country_code": "US",
            "telephone_number": "510-568-6272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 S Shore Ctr",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945018043",
            "country_code": "US",
            "telephone_number": "510-214-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "DIPTI",
        "middle_name": "RAMLING",
        "name_prefix": "Dr.",
        "credential": "D.D.S., B.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.