Individual provider Active NPI

Priyanka Varakantam, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1851953236
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103926 Issued in CA
Practice address
5651 Snell Ave
San Jose, CA 95123-3328
Phone
(516) 972-5472
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103926 CA Primary

Addresses

Primary practice location

5651 Snell Ave
San Jose, CA 95123-3328

Mailing address

5651 Snell Ave
San Jose, CA 95123-3328
Phone (516) 972-5472

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
103926CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Priyanka Varakantam DDS Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

5651 Snell Ave
San Jose, CA 95123
Phone (408) 362-9000

Organizations & group practices 1

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1851953236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SNELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233328",
            "telephone_number": "516-972-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SNELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233328",
            "telephone_number": "516-972-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARAKANTAM",
        "first_name": "PRIYANKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.