Vidya Bobba Dental Group Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47849 Issued in CA

Legal business name

VIDYA BOBBA DENTAL GROUP INC.

Practice address

393 Blossom Hill Rd Ste 330
San Jose, CA 95123-1659

Phone

(408) 578-8331

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Vidya Bobba, DMDNPI 1316162571

Title

Ceo

Phone

(408) 578-8331

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Vidya Bobba, D.M.D.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1316162571
  NPD Authorized official
• Ronald L. O'Brien, D.D.S.

  • Dentist
  • San Jose, CA
  • NPI 1174673065
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1841782406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 330",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 330",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231659",
            "telephone_number": "408-578-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA BOBBA DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BOBBA",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-578-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Vidal
• Video Game Child and Family Counseling Inc.
• Vanessa Maricela Vides Leon
• Elizabeth Ryan Vidovich, LVN
• Joanna Bell Vidrine, M.A.
• Vidya Bobba, DMD, Inc.
• Brenda Vieira
• Patricia Vielbig, DDS
• Phuong Vien, PHARMD
• David Michael Vierhus, DDS

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.