SHAKALPI PENDURKAR (NPI# 1689891020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689891020 |
| Entity Type | Individual |
| Full Name | SHAKALPI PENDURKAR |
| Credential | DDS |
| Practice Address |
55 East Julian Street San Jose CA 95112 |
| Practice Telephone | 4089182618 |
| Practice Fax Number | 4087951120 |
| Mailing Telephone | 4089182618 |
| Mailing Fax Number | 4087951120 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50345 | CA | Dental Providers |
| Street Address |
55 EAST JULIAN STREET |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174749634 | George Barghouth | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2007-04-17 |
| 1437325941 | Michael Min-tun | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2008-05-05 |
| 1861613614 | Priya Goel Gogte | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2007-05-01 |
| 1568689743 | Phuong Luu | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2007-04-19 |
| 1417174509 | Luz Nares | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2007-04-19 |
| 1851518096 | Meena Praveen | Dentist | 55 East Julian Street, San Jose, CA 95112 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on SHAKALPI PENDURKAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.