Anandhi Djegaradjane, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

47069 Issued in CA

Practice address

910 Willow Road
Menlo Park, CA 94025

Phone

(650) 326-3764

Fax

(650) 326-1069

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1962506006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WILLOW ROAD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-326-3764",
            "fax_number": "650-326-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WILLOW ROAD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-326-3764",
            "fax_number": "650-326-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJEGARADJANE",
        "first_name": "ANANDHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DENTI CAL",
            "identifier": "G9378801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Dimas, LMFT
• Alex Dimitriu, MD
• Debby Din, RN
• Discovery Practice Management, Inc
• Divya Railan MD Inc.
• Elizabeth Patricia Doi, D.D.S.
• Samuel Paul Donath
• Elizabeth Eileen Dong, MD
• Caroline Doo
• Dr Anandhi Djegaradjane DDS Apc

• Dentist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.

Verify at the official NPI Registry.