Individual provider Active NPI

Sasi Kumar Sunkara

  • Periodontics
  • Carrollton, TX
National Provider Identifier
1235527284
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
28543 Issued in TX
Practice address
2440 N Josey LN
Ste. 201
Carrollton, TX 75006-1668
Phone
(972) 242-0696
NPI assigned
Dec 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 28543 TX Primary

Addresses

Primary practice location

2440 N Josey LN
Ste. 201
Carrollton, TX 75006-1668

Mailing address

8217 Ranchview Dr
Apt#2001
Irving, TX 75063-9357
Phone (716) 435-4058

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
28543TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Soh of Texas Samson Liu PLLC Past Accepting new patients

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1235527284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 RANCHVIEW DR",
            "address_2": "APT#2001",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750639357",
            "telephone_number": "716-435-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N JOSEY LN",
            "address_2": "STE. 201",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061668",
            "telephone_number": "972-242-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKARA",
        "first_name": "SASI",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "28543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.