Shyama Subhadarsini DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHYAMA SUBHADARSINI DDS INC

Doing business as

Shyama Subhadarsini DDS Inc

Practice address

4155 Moorpark Ave Ste 17
San Jose, CA 95117-1714

Phone

(408) 249-7762

Fax

(408) 249-7764

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shyama Subhadarsini, DDSNPI 1407256464

Title

Dentist

Phone

(408) 249-7762

Specialties & licenses 1

Addresses

Other names 1

• Shyama Subhadarsini DDS Inc Doing business as

Locations

Practitioners 2

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

• Shyama Subhadarsini, D.D.S., B.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1407256464
  NPD Authorized official
• Ventsislav Lazarov, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1487821765
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1912647629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-249-7762",
            "fax_number": "408-249-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-249-7762",
            "fax_number": "408-249-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAMA SUBHADARSINI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SUBHADARSINI",
        "authorized_official_first_name": "SHYAMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-249-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shyama Subhadarsini DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Joanne Shulman, LMFT
• James Leo Shurter
• Joanne Lynn Shurter, MFT
• Dana Shuster
• Morgan Shuster
• Trevar Shyshka
• Shangpeng Si, L.AC.
• Peik Sia
• Nicole Sialaris, OTR/L
• Tina Siambis, DDS

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.