Individual provider Active NPI

Bharathi Gorthi, DDS

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1912167479
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57002 Issued in CA
Practice address
665 S Knickerbocker Dr
9
Sunnyvale, CA 94087-1033
Phone
(408) 634-3368
Fax
(815) 346-8791
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57002 CA Primary

Addresses

Primary practice location

665 S Knickerbocker Dr
9
Sunnyvale, CA 94087-1033

Mailing address

403 Dayton Ave
Santa Clara, CA 95051-6410
Phone (408) 246-4648

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
57002CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bharathi Gorthi DDS Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1912167479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DAYTON AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516410",
            "telephone_number": "408-246-4648",
            "fax_number": "815-346-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S KNICKERBOCKER DR",
            "address_2": "9",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871033",
            "telephone_number": "408-634-3368",
            "fax_number": "815-346-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTHI",
        "first_name": "BHARATHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.