Individual provider Active NPI

Sandhya R Anantuni, DMD

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1205959178
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4861 Issued in AZ
Practice address
5590 W Chandler Blvd Ste 1
Chandler, AZ 85226-3697
Phone
(480) 821-4000
Fax
(480) 893-7764
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 4861 AZ Primary

Addresses

Primary practice location

5590 W Chandler Blvd Ste 1
Chandler, AZ 85226-3697

Mailing address

182 W Macaw Dr
Chandler, AZ 85286-8515
Phone (602) 369-0668

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
4861AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhya Anantuni DMD PC CurrentSince Sep 25, 2022 Accepting new patients

Locations

5505 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 963-5538

5590 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 821-4000

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": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1205959178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W MACAW DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852868515",
            "telephone_number": "602-369-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263697",
            "telephone_number": "480-821-4000",
            "fax_number": "480-893-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTUNI",
        "first_name": "SANDHYA",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.