DR. PAVITHRA SHETTY THANKACHEN D.D.S
NPI 1720196173
Dentist - General Practice in Corona Del Mar, CA

Q: What is Pavithra Thankachen's NPI number?

The NPI number for Pavithra Thankachen is 1720196173. It was assigned to this individual provider in the NPPES registry on August 27, 2006. The provider is also known as Dr. Pavithra G Shetty.

Q: What is Pavithra Thankachen's specialty?

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

Active since August 27, 2006PECOS Enrolled

2131 EAST COAST HWY SUITE 220, CORONA DEL MAR, CA 92625(949) 644-1001 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pavithra Shetty Thankachen D.d.s NPPES

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

DR. PAVITHRA SHETTY THANKACHEN D.D.S (NPI 1720196173) is an individual general practice provider in Corona Del Mar, California, licensed in California (51522) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bay Shore.

NPPES Registry Identity

NPI1720196173

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAVITHRA SHETTY THANKACHENCredential: D.D.S

Location Address2131 EAST COAST HWY SUITE 220Corona Del Mar, CA 92625-3421

Mailing Address2131 East Coast Hwy Suite 220Corona Del Mar, CA 92625-3421 · (949) 644-1001

Phone(949) 644-1001

Sole ProprietorNo

Enumeration DateAugust 27, 2006

Last NPPES UpdateMarch 3, 2020

NPPES CertifiedMarch 3, 2020

✔ NPI 1720196173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 51522✔ Licensed in NY · 0518561

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 51522 (CA)

2131 EAST COAST HWY SUITE 220, Corona Del Mar, CA 92625

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Other Names 1

Former Name (1)Dr. Pavithra G Shetty

Secondary Practice Location 1

Location 11701 Sunrise HwyBay Shore, NY 11706-6091 · Phone (631) 666-1441

Other Identifiers 1

Medicaid51522CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Pavithra Shetty Thankachen D.d.s 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 92625 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 Pavithra Thankachen's NPI number?

The NPI number for Pavithra Thankachen is 1720196173. It was assigned to this individual provider in the NPPES registry on August 27, 2006. The provider is also known as Dr. Pavithra G Shetty.

Where is Pavithra Thankachen located?

Pavithra Thankachen practices at 2131 East Coast Hwy Suite 220, Corona Del Mar, CA 92625. The listed phone number is (949) 644-1001.

What is Pavithra Thankachen's specialty?

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

Is Pavithra Thankachen enrolled in Medicare?

Yes. Pavithra Thankachen is registered in the Medicare PECOS enrollment system.

What insurance does Pavithra Thankachen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Pavithra Thankachen 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 Pavithra Thankachen was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.