Active NPI
Samiksha Jhunjhnuwala
- General Practice Dentistry
- Westminster, CA
National Provider Identifier
1871047845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 100660
- Practice address
- 8001 Westminster Blvd
Westminster, CA 92683 - Phone
- (310) 869-2346
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 100660 | CA | Primary |
Addresses
Primary practice location
8001 Westminster Blvd
Westminster, CA 92683
Mailing address
243 Follyhatch
Irvine, CA 92618-1051
Phone (310) 869-2346
Other practice location 1
485 E 17th St
#103
Costa Mesa, CA 92627-3265
Phone (949) 645-8887
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001237 | CA | Order and Referring Only - Other (Non-Physician) | 1052695426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100660 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1871047845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 FOLLYHATCH",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181051",
"telephone_number": "310-869-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92683",
"telephone_number": "310-869-2346"
}
],
"practiceLocations": [
{
"address_1": "485 E 17th St",
"address_2": "#103",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926273265",
"country_code": "US",
"telephone_number": "949-645-8887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JHUNJHNUWALA",
"first_name": "SAMIKSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "100660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.