Sujaya Thogaru

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D15162 Issued in MN

Practice address

18223 Carson CT NW
Elk River, MN 55330-2733

Phone

(763) 441-7030

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Elk River, MN
  • NPI 1720736150
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1245077601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9648 MERRIMAC LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112272",
            "telephone_number": "972-822-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18223 CARSON CT NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302733",
            "telephone_number": "763-441-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOGARU",
        "first_name": "SUJAYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Temple
• Cassandra Marie Terch
• The Creative Therapy Center, LLC
• Garrett Connor Theiringer
• Kate Theisz, PSY.D.
• Darin William Thom, PT
• Erick Thompson, DC
• Kylee Lynn Thompson
• Linda Kaye Thompson, LP
• Three Rivers Montessori

• General Practice Dentistry in Elk River, MN
• Providers in Elk River, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.