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DR. SHYAMA SUBHADARSINI D.D.S., B.D.S.
NPI 1407256464
Dentist - General Practice in San Jose, CA

Active since August 27, 2014
4155 MOORPARK AVE STE 17, SAN JOSE, CA 95117(408) 249-7762 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2018, Jun 27, 2018 (2 updates tracked since 2018).

About Dr. Shyama Subhadarsini D.d.s., B.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHYAMA SUBHADARSINI D.D.S., B.D.S. (NPI 1407256464) is an individual general practice provider in San Jose, California, licensed in California (63873) and active in the NPI registry since August 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407256464
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHYAMA SUBHADARSINICredential: D.D.S., B.D.S.
Location Address4155 MOORPARK AVE STE 17San Jose, CA 95117-1714
Mailing Address4155 Moorpark Ave Ste 17San Jose, CA 95117-1714 · (408) 249-7762
Phone(408) 249-7762
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1407256464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 63873
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 63873 (CA)
4155 MOORPARK AVE STE 17, San Jose, CA 95117
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Secondary Practice Locations 2

Location 15150 Graves AveSan Jose, CA 95129-5013 · Phone (408) 973-0979
Location 2166 W Campbell AveCampbell, CA 95008 · Phone (408) 379-0851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHYAMA SUBHADARSINI DDS INC
Clinic/Center (Dental)
4155 MOORPARK AVE STE 17
SAN JOSE, CA 95117
Santa Clara County (408) 249-7762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyama Subhadarsini's NPI number?

The NPI number for Shyama Subhadarsini is 1407256464. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Shyama Subhadarsini located?

Shyama Subhadarsini practices at 4155 Moorpark Ave Ste 17, San Jose, CA 95117. The listed phone number is (408) 249-7762.

What is Shyama Subhadarsini's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shyama Subhadarsini accept?

Health plans from Renaissance Dental list Shyama Subhadarsini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shyama Subhadarsini was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.