NPIMap

Organization Active NPI

Savitha Siddappa DMD Inc

Doing business as Prism Dental Group

  • General Practice Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1891928412
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56598 Issued in CA
Legal business name
SAVITHA SIDDAPPA DMD INC
Doing business as
Prism Dental Group
Practice address
355 E Avenida de Los Arboles
Suite a
Thousand Oaks, CA 91360-2973
Phone
(805) 241-5353
Fax
(805) 241-1515
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Savitha Siddappa, DMDNPI 1689737512
Title
President
Phone
(805) 241-5353

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56598 CA Primary

Addresses

Primary practice location

355 E Avenida de Los Arboles
Suite a
Thousand Oaks, CA 91360-2973

Mailing address

355 E Avenida de Los Arboles
Suite a
Thousand Oaks, CA 91360-2973
Phone (805) 241-5353

Other names 1

  • Prism Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

355 E Avenida de los Arboles
Ste A
Thousand Oaks, CA 91360
Phone (805) 241-5353

Practitioners & affiliated clinicians

Practitioners 1

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1891928412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602973",
            "telephone_number": "805-241-5353",
            "fax_number": "805-241-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602973",
            "telephone_number": "805-241-5353",
            "fax_number": "805-241-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVITHA SIDDAPPA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "SIDDAPPA",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-241-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.