Vilas Sastry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1002728 Issued in WI

Practice address

6121 7TH Ave
Kenosha, WI 53143-4506

Phone

(262) 654-6535

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladentist PC Inc

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1689101750
  NPD Authorized official
• Edp of Wisconsin, SC

  • Dental Clinic/Center
  • Hartland, WI
  • NPI 1639685779
  NPD (past)
• Library Park Dental SC

  • General Practice Dentistry
  • Kenosha, WI
  • NPI 1396903472
  NPD (past)
• Edp of Illinois P.C

  • Dental Clinic/Center
  • Dupo, IL
  • NPI 1154712784
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1104921279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 WOODMERE CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626447",
            "telephone_number": "702-332-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 7TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531434506",
            "telephone_number": "262-654-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N Alpine Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611072262",
            "country_code": "US",
            "telephone_number": "815-397-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "VILAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5053",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033030",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Santelle, MA CCCSLP
• Charles Santilukka, D.O.
• Gianna Santoro, LPN
• Yoseph Sarrafzadeh, O.D.
• Tamam Sarsour, LPC
• Nicole Marie Sautbine, PA
• Savaglio Eye Clinic SC
• Savaglio Family Optometry, LLC
• David Brian Savaglio, OD
• Vincent Paul Savaglio, MD

• All providers in Kenosha, WI
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.