Individual provider Active NPI

Saranya Sakhamuri, DMD

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1003170465
Registry record updated Jun 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010791 Issued in CT
Practice address
135 Bank St
Waterbury, CT 06702-2205
Phone
(203) 393-5505
NPI assigned
Jun 30, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010791CTMDGeneral Practice Dentistry

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 010791 CT
General Practice Dentistry 1223G0001X 010791 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

135 Bank St
Waterbury, CT 06702-2205

Mailing address

401 Engamore LN Apt 107
Norwood, MA 02062-2556
Phone (732) 614-1988

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2012.

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341014400000",
    "number": "1003170465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ENGAMORE LN APT 107",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622556",
            "telephone_number": "732-614-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BANK ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022205",
            "telephone_number": "203-393-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKHAMURI",
        "first_name": "SARANYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2012-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010791",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.