Individual provider Active NPI

Ivi Zoe Sanguinetti, DDS, PA

  • Dentist
  • Baytown, TX
National Provider Identifier
1235474990
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17943 Issued in TX
Practice address
6920 Garth Rd
Baytown, TX 77521-9646
Phone
(281) 421-5950
Fax
(281) 421-7828
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17943 TX Primary

Addresses

Primary practice location

6920 Garth Rd
Baytown, TX 77521-9646

Mailing address

6920 Garth Rd
Baytown, TX 77521-9646
Phone (281) 421-5950

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17943TXMDDentist

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

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1235474990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-421-5950",
            "fax_number": "281-421-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-421-5950",
            "fax_number": "281-421-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGUINETTI",
        "first_name": "IVI",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.