Individual provider Active NPI

Sukanya Sarangi, DMD

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1174366520
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41869 Issued in TX
Practice address
5730 66TH St
Lubbock, TX 79424-1224
Phone
(806) 587-5070
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41869 TX Primary
General Practice Dentistry 1223G0001X 2024022477 MO

Addresses

Primary practice location

5730 66TH St
Lubbock, TX 79424-1224

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001581 MO Practitioner - Dentist 8224572797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41869TXMDClinical Social Worker
2024022477MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jun 17, 2024 Accepting new patients
Compass Health, Inc CurrentSince Jun 17, 2024 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

2475 Broadway Bluffs Dr
Columbia, MO 65201
Phone (573) 777-9282

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

303 N Keene St
Ste 202
Columbia, MO 65201
Phone (573) 442-8885

1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997

2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4800

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1174366520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241224",
            "telephone_number": "806-587-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARANGI",
        "first_name": "SUKANYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024022477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.