SUSHMA MANGALAVARAPET KANTHARAJU D.D.S
NPI 1982155834
Dentist in Stockton, CA

Q: What is Sushma Mangalavarapet Kantharaju's NPI number?

The NPI number for Sushma Mangalavarapet Kantharaju is 1982155834. It was assigned to this individual provider in the NPPES registry on October 16, 2016.

Q: What is Sushma Mangalavarapet Kantharaju's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 16, 2016PECOS Enrolled

4053 E MORADA LN, STOCKTON, CA 95212(209) 478-6000 Get Directions Write a Review

NPPES record last updated: October 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sushma Mangalavarapet Kantharaju D.d.s NPPES

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

SUSHMA MANGALAVARAPET KANTHARAJU D.D.S (NPI 1982155834) is an individual dentist in Stockton, California, licensed in California (DDS100731) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982155834

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUSHMA MANGALAVARAPET KANTHARAJUCredential: D.D.S

Location Address4053 E MORADA LNStockton, CA 95212-1608

Mailing Address4053 E Morada LnStockton, CA 95212-1608 · (209) 478-6000

Phone(209) 478-6000

Sole ProprietorYes

Enumeration DateOctober 16, 2016

✔ NPI 1982155834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS100731

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4053 E MORADA LN, Stockton, CA 95212

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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 Alabama 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)

Sushma Mangalavarapet Kantharaju 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 95212 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 2

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

CHEEMA DENTAL CORP

Dentist (General Practice)

4053 E MORADA LN
STOCKTON, CA 95212

San Joaquin County (209) 478-6000

RAJKAMAL SOHI

Dentist

4053 E MORADA LN
STOCKTON, CA 95212

San Joaquin County (209) 478-6000

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 Sushma Mangalavarapet Kantharaju's NPI number?

The NPI number for Sushma Mangalavarapet Kantharaju is 1982155834. It was assigned to this individual provider in the NPPES registry on October 16, 2016.

Where is Sushma Mangalavarapet Kantharaju located?

Sushma Mangalavarapet Kantharaju practices at 4053 E Morada Ln, Stockton, CA 95212. The listed phone number is (209) 478-6000.

What is Sushma Mangalavarapet Kantharaju's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sushma Mangalavarapet Kantharaju enrolled in Medicare?

Yes. Sushma Mangalavarapet Kantharaju is registered in the Medicare PECOS enrollment system.

What insurance does Sushma Mangalavarapet Kantharaju accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Sushma Mangalavarapet Kantharaju 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 Sushma Mangalavarapet Kantharaju was last updated on October 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.