Active NPI
Mukesh Maheshwari
- General Practice Dentistry
- Modesto, CA
National Provider Identifier
1982958039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61997
- Practice address
- 2605 Coffee Rd
# 200
Modesto, CA 95355-2064 - Phone
- (209) 521-0100
- NPI assigned
- Oct 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61997 | CA | Primary |
Addresses
Primary practice location
2605 Coffee Rd
# 200
Modesto, CA 95355-2064
Mailing address
1500 Lakewood Ave
Apt# 214
Modesto, CA 95355-3584
Phone (209) 204-1861
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61997 | CA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | Accepting new patients | |
| Cherag Dinshaw Sarkari DDS a Dental Corporation | General Practice | Past | Accepting new patients |
Interoperability endpoints
- mmaheshwari@direct.westerndental.com
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Modesto, CA
- NPI 1003970740
-
- Dentist
- Modesto, CA
- NPI 1306310933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1982958039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LAKEWOOD AVE",
"address_2": "APT# 214",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553584",
"telephone_number": "209-204-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 COFFEE RD",
"address_2": "# 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552064",
"telephone_number": "209-521-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHESHWARI",
"first_name": "MUKESH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-27",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.