Organization Active NPI

Ivi Z Sanguinetti DDS PA

  • Dentist
  • Baytown, TX
National Provider Identifier
1083618664
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17943 Issued in TX
Legal business name
IVI Z SANGUINETTI DDS PA
Practice address
6920 Garth Rd
Baytown, TX 77521-9646
Phone
(281) 421-5950
Fax
(281) 421-7828
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Ivi Z Sanguinetti, DDS, PA
Title
Dentist / Owner / President
Phone
(281) 421-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17943 TX Primary

Addresses

Primary practice location

6920 Garth Rd
Baytown, TX 77521-9646

Mailing address

6920 Garth Rd
Baytown, TX 77521-9646
Phone (281) 421-5950

Other identifiers 1

IdentifierTypeStateIssuer
111401501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1083618664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-421-5950",
            "fax_number": "281-421-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-421-5950",
            "fax_number": "281-421-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVI Z SANGUINETTI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "SANGUINETTI",
        "authorized_official_first_name": "IVI",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DENTIST / OWNER / PRESIDENT",
        "authorized_official_telephone_number": "281-421-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111401501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.