Individual provider Active NPI

Sweta Saji Thomas, DDS

  • Dentist
  • Sacramento, CA
National Provider Identifier
1063171379
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107141 Issued in CA
Practice address
5701 Callie LN Apt E
Sacramento, CA 95841-5013
Phone
(916) 507-5040
NPI assigned
Dec 14, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107141 CA Primary

Addresses

Primary practice location

5701 Callie LN Apt E
Sacramento, CA 95841-5013

Mailing address

5701 Callie LN Apt E
Sacramento, CA 95841-5013
Phone (916) 507-5040

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
107141CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1063171379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CALLIE LN APT E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958415013",
            "telephone_number": "916-507-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CALLIE LN APT E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958415013",
            "telephone_number": "916-507-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJI THOMAS",
        "first_name": "SWETA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.