Individual provider Active NPI

Richa Mishra, DDS

  • Dentist
  • Sonora, CA
National Provider Identifier
1952769408
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101201 Issued in CA
Practice address
19969 Greenley Rd
D
Sonora, CA 95370-5908
Phone
(209) 532-0034
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101201 CA Primary

Addresses

Primary practice location

19969 Greenley Rd
D
Sonora, CA 95370-5908

Mailing address

801 Atherton Dr
Apt 133
Manteca, CA 95337-8595
Phone (650) 430-8488

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
101201CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Richa Mishra DDS Inc. Dentist CurrentSince Oct 12, 2025 Accepting new patients

Locations

800 Morning Star Dr
Ste B
Sonora, CA 95370
Phone (209) 588-8400

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1952769408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ATHERTON DR",
            "address_2": "APT 133",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378595",
            "telephone_number": "650-430-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19969 GREENLEY RD",
            "address_2": "D",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705908",
            "telephone_number": "209-532-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "RICHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.