SHYAMA SUBHADARSINI DDS INC
NPI 1912647629
Clinic/Center - Dental in San Jose, CA

Active since March 30, 2022
4155 MOORPARK AVE STE 17, SAN JOSE, CA 95117(408) 249-7762(408) 249-7764 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shyama Subhadarsini Dds Inc NPPES

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

SHYAMA SUBHADARSINI DDS INC (NPI 1912647629) is a healthcare organization registered as a dental in San Jose, California and active in the NPI registry since March 2022. The organization lists Shyama Subhadarsini, Dentist, as its authorized official.

NPPES Registry Identity

NPI1912647629
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHYAMA SUBHADARSINI DDS INC
Location Address4155 MOORPARK AVE STE 17San Jose, CA 95117-1714
Mailing Address4155 Moorpark Ave Ste 17San Jose, CA 95117-1714 · (408) 249-7762 · Fax (408) 249-7764
Fax(408) 249-7764
Organization SubpartNo
Authorized OfficialShyama SubhadarsiniDentist · (408) 249-7762
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1912647629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4155 MOORPARK AVE STE 17, San Jose, CA 95117

Other Names 1

Doing Business AsShyama Subhadarsini Dds Inc

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4155 MOORPARK AVE STE 17
SAN JOSE, CA 95117

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 Dds Inc's NPI number?

The NPI number for Shyama Subhadarsini Dds Inc is 1912647629. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Shyama Subhadarsini Dds Inc located?

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

What is Shyama Subhadarsini Dds Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Shyama Subhadarsini Dds Inc was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.