Individual provider Active NPI

Winnie Elsa Saji, D.M.D.

  • Dentist
  • Grapevine, TX
National Provider Identifier
1265801864
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31464 Issued in TX
Practice address
1650 W Northwest Hwy Ste 201
Grapevine, TX 76051-8122
Phone
(817) 854-2866
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31464 TX Primary

Addresses

Primary practice location

1650 W Northwest Hwy Ste 201
Grapevine, TX 76051-8122

Mailing address

1650 W Northwest Hwy Ste 201
Grapevine, TX 76051-8122
Phone (817) 854-2866

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
31464TXMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1265801864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W NORTHWEST HWY STE 201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518122",
            "telephone_number": "817-854-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W NORTHWEST HWY STE 201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518122",
            "telephone_number": "817-854-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJI",
        "first_name": "WINNIE",
        "middle_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.