Individual provider Active NPI

Pramiti Saxena

  • Dentist
  • Jackson, MI
National Provider Identifier
1033005582
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602588 Issued in MI
Practice address
4200 Spring Arbor Rd
Jackson, MI 49201-7301
Phone
(517) 787-5367
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602588 MI Primary
General Practice Dentistry 1223G0001X 2901602588 MI

Addresses

Primary practice location

4200 Spring Arbor Rd
Jackson, MI 49201-7301

Mailing address

1102 Maiden Lane CT Apt 102
Ann Arbor, MI 48105-1914
Phone (512) 771-6877

Other practice location 1

2200 N Canton Center Rd Ste 100A
Canton, MI 48187-5037
Phone (734) 999-3344

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
2901602588MIMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1033005582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MAIDEN LANE CT APT 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051914",
            "telephone_number": "512-771-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017301",
            "telephone_number": "517-787-5367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Canton Center Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481875037",
            "country_code": "US",
            "telephone_number": "734-999-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "PRAMITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602588",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.