Active NPI
Elias Sanie, DDS
- Dentist
- Rocky Mount, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416677
- Practice address
- 740 Old Franklin Tpke
Rocky Mount, VA 24151-5881 - Phone
- (540) 489-8191
- NPI assigned
- Jun 28, 2018
- Last updated
- Oct 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL13686 | MA | |
| Dentist | 122300000X | DL14124 | MA | |
| Dentist | 122300000X | 0401416677 | VA | Primary |
Addresses
Primary practice location
740 Old Franklin Tpke
Rocky Mount, VA 24151-5881
Mailing address
9708 Five Oaks Rd
Fairfax, VA 22031-1109
Phone (571) 228-2826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL13686 | MA | MD | Dentist |
| DL14124 | MA | MD | Dentist |
| 0401416677 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Programs, Inc. | Current | Accepting new patients | |
| Community Health Programs, Inc. | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Past | Accepting new patients | |
| Community Health Programs | Past | Accepting new patients |
Locations
510 North St
Ste 2
Pittsfield, MA 01201
Phone (413) 447-2781
Networks
- KY PPO C-SNP
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHP community Health Center
- Federally Qualified Health Center (FQHC)
- Great Barrington, MA
- NPI 1013953009
-
dba CHP Berkshire Pediatrics
- Pediatrics Physician
- Pittsfield, MA
- NPI 1942720214
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
dba CHP Neighborhood Dental Center
- Federally Qualified Health Center (FQHC)
- Pittsfield, MA
- NPI 1942759162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1013402320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9708 FIVE OAKS RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311109",
"telephone_number": "571-228-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 OLD FRANKLIN TPKE",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241515881",
"telephone_number": "540-489-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANIE",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-28",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13686",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL14124",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.