Active NPI
Sanjay V. Rao, D.D.S.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1114920113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18757
- Practice address
- 4105 W Spring Creek Pkwy Ste 704
Plano, TX 75024-5278 - Phone
- (972) 596-3300
- Fax
- (972) 559-3748
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18757 | TX | Primary |
Addresses
Primary practice location
4105 W Spring Creek Pkwy Ste 704
Plano, TX 75024-5278
Mailing address
4105 W Spring Creek Pkwy Ste 704
Plano, TX 75024-5278
Phone (972) 596-3300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18757 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay V Rao DDS | General Practice | Past | Accepting new patients |
| Gentle Dental Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Plano, TX
- NPI 1124368220
-
- General Practice Dentistry
- Plano, TX
- NPI 1831396688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1114920113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 W SPRING CREEK PKWY STE 704",
"city": "PLANO",
"state": "TX",
"postal_code": "750245278",
"telephone_number": "972-596-3300",
"fax_number": "972-559-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 W SPRING CREEK PKWY STE 704",
"city": "PLANO",
"state": "TX",
"postal_code": "750245278",
"telephone_number": "972-596-3300",
"fax_number": "972-559-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "SANJAY",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.