Individual provider Active NPI

Sai Tej Ganne, DDS

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1154947554
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010733 Issued in AZ
Practice address
9242 N 7TH St
Phoenix, AZ 85020-2502
Phone
(602) 786-5492
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010733 AZ Primary

Addresses

Primary practice location

9242 N 7TH St
Phoenix, AZ 85020-2502

Mailing address

14436 N 67TH PL
Scottsdale, AZ 85254-3489
Phone (714) 421-6645

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
D010733AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Espinoza DDS PLLC PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1154947554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14436 N 67TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543489",
            "telephone_number": "714-421-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9242 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202502",
            "telephone_number": "602-786-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNE",
        "first_name": "SAI TEJ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.