Mohana Ratna Shilpa Awasthi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

65260 Issued in CA

Practice address

1588 Soquel Dr Ste 3
Santa Cruz, CA 95065-1714

Phone

(831) 454-8120

NPI assigned

Sep 9, 2010

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 names 1

• Mohana Ratna Shilpa Awasthi Former name

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

Practice roles

Locations

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.

• Mohana Awasthi,DDS, Inc.

  • General Practice Dentistry
  • Santa Cruz, CA
  • NPI 1265016265
  NPD Authorized official
• Golden State Smiles

  • Dentist
  • San Jose, CA
  • NPI 1023593118
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1992012074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17535 SODA SPRINGS RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338653",
            "telephone_number": "774-208-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 SOQUEL DR STE 3",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651714",
            "telephone_number": "831-454-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWASTHI",
        "first_name": "MOHANA",
        "middle_name": "RATNA SHILPA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHANA",
            "last_name": "AWASTHI",
            "middle_name": "RATNA SHILPA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Avellone
• Kenneth Earl Averill Jr., MD
• Cecilia Avila-Gallo
• Sandra Maria Avila
• Montserrat Aviles
• Brittani Jean Axtell, DTCM, LAC
• Crystal Ayala-Arreola
• Elizabeth Ayala
• Leslie Ayala
• Kristin Ayer, CNM

• Dentist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.