Active NPI
Sandhya R Anantuni, DMD
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1205959178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4861
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4861 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhya Anantuni DMD PC | Current | 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.
-
- Dentist
- Chandler, AZ
- NPI 1811170095
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.