Individual provider Active NPI

Karishma Sitapara, DDS

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1083142467
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13344925-9922 Issued in UT
Practice address
2114 S Highland Dr
Salt Lake City, UT 84106-2807
Phone
(801) 467-2345
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041911 PA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 13344925-9922 UT Primary

Addresses

Primary practice location

2114 S Highland Dr
Salt Lake City, UT 84106-2807

Mailing address

6784 Market St
Upper Darby, PA 19082-2431
Phone (484) 462-0171

Other practice location 1

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5593

Other practice location 2

6784 Market St
Upper Darby, PA 19082
Phone (484) 462-0171

Other practice location 3

6784 Market St
Upper Darby, PA 19082
Phone (484) 462-0171

Other practice location 4

793 E Winchester St
Murray, UT 84107-7564
Phone (801) 849-1045

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
DS041911PAMDGeneral Practice Dentistry
13344925-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1083142467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6784 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822431",
            "telephone_number": "484-462-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062807",
            "telephone_number": "801-467-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-5593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6784 Market St",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "19082",
            "country_code": "US",
            "telephone_number": "484-462-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6784 Market St",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "19082",
            "country_code": "US",
            "telephone_number": "484-462-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "793 E Winchester St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841077564",
            "country_code": "US",
            "telephone_number": "801-849-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITAPARA",
        "first_name": "KARISHMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041911",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13344925-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.