Mrugank Sardhara, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856486 Issued in MA

Practice address

907 Main St
Brockton, MA 02301-6629

Phone

(630) 456-6334

NPI assigned

Jun 27, 2012

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avon Dental Group, PLLC

  • Dental Clinic/Center
  • Avon, MA
  • NPI 1326688706
  NPD Authorized official
• Creative Dental Group, PLLC

  • Dentist
  • New Bedford, MA
  • NPI 1912319583
  Authorized official Same address or phone
• Creative Smiles Dental Care, PLLC

  • Dentist
  • Brockton, MA
  • NPI 1225441819
  NPD (past) Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1194089821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016629",
            "telephone_number": "508-588-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016629",
            "telephone_number": "630-456-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDHARA",
        "first_name": "MRUGANK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856486",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Isaiah Santos
• Desiree Santos
• Dulceneia Santos
• Idalina Santos
• Heather Sarabia
• Courtney Sargent
• Ashley Nicole Sarro
• Layne Lea Sasville I, DPT
• Leslie Sattler
• Cathleen Ann Saunders, LICSW

• Dentist in Brockton, MA
• Providers in Brockton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.