Individual provider Active NPI

Rutuja Sabnis

  • Dentist
  • Rock Hill, SC
National Provider Identifier
1225722358
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11203 Issued in SC
Practice address
128 Herlong Ave S Ste 102
Rock Hill, SC 29732-1156
Phone
(949) 331-5934
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11203 SC Primary

Addresses

Primary practice location

128 Herlong Ave S Ste 102
Rock Hill, SC 29732-1156

Mailing address

128 Herlong Ave S Ste 102
Rock Hill, SC 29732-1156
Phone (949) 331-5934

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
11203SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1225722358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HERLONG AVE S STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321156",
            "telephone_number": "949-331-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HERLONG AVE S STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321156",
            "telephone_number": "949-331-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABNIS",
        "first_name": "RUTUJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.