DR. SOUMYA SHIVANNA DDS
NPI 1598936676
Dentist - General Practice in San Jose, CA

Q: What is Soumya Shivanna's NPI number?

The NPI number for Soumya Shivanna is 1598936676. It was assigned to this individual provider in the NPPES registry on March 18, 2008. The provider is also known as Dr. Soumya Shivanna Dds.

Q: What is Soumya Shivanna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soumya Shivanna was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2008PECOS Enrolled

1620 E.CAPITOL EXPRESSWAY, SUITE C, SAN JOSE, CA 95121(408) 223-6017(408) 223-6019 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Soumya Shivanna Dds NPPES

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

DR. SOUMYA SHIVANNA DDS (NPI 1598936676) is an individual general practice provider in San Jose, California, licensed in California (55657) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598936676

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SOUMYA SHIVANNACredential: DDS

Location Address1620 E.CAPITOL EXPRESSWAY, SUITE CSan Jose, CA 95121

Mailing Address1620 E. Capitol Expressway, Suite C, Evergreen Family Dental GroupSan Jose, CA 95121 · (408) 223-6017 · Fax (408) 223-6019

Phone(408) 223-6017

Fax(408) 223-6019

Sole ProprietorYes

Enumeration DateMarch 18, 2008

Last NPPES UpdateMarch 31, 2016

✔ NPI 1598936676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 55657

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.

1620 E.CAPITOL EXPRESSWAY, San Jose, CA 95121

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Other Names 1

Professional Name (2)Dr. Soumya Shivanna Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soumya Shivanna Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Soumya Shivanna's NPI number?

The NPI number for Soumya Shivanna is 1598936676. It was assigned to this individual provider in the NPPES registry on March 18, 2008. The provider is also known as Dr. Soumya Shivanna Dds.

Where is Soumya Shivanna located?

Soumya Shivanna practices at 1620 E.Capitol Expressway Suite C, San Jose, CA 95121. The listed phone number is (408) 223-6017.

What is Soumya Shivanna's specialty?

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

Is Soumya Shivanna enrolled in Medicare?

Yes. Soumya Shivanna is registered in the Medicare PECOS enrollment system.

What insurance does Soumya Shivanna accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Soumya Shivanna 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 Soumya Shivanna was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.