Individual provider Active NPI

Mahesh Sadhnani, D.M.D., M.P.H.

  • General Practice Dentistry
  • West Roxbury, MA
National Provider Identifier
1306101126
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856209 Issued in MA
Practice address
5230 Washington St
West Roxbury, MA 02132-6346
Phone
(617) 325-4633
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856209 MA Primary

Addresses

Primary practice location

5230 Washington St
West Roxbury, MA 02132-6346

Mailing address

60 Dracut St Unit 2
Boston, MA 02124-3807
Phone (270) 519-4799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912001721 MA Order and Referring Only - DentistPractitioner - Dentist 0941573018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry of West Roxbury PLLC CurrentSince Jun 27, 2021 Accepting new patients
Eugene Petti DDS PC General Practice PastSince Jun 27, 2021 Accepting new patients

Locations

5230 Washington St
West Roxbury, MA 02132
Phone (270) 519-4799

Organizations & group practices 2

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1306101126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DRACUT ST UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021243807",
            "telephone_number": "270-519-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326346",
            "telephone_number": "617-325-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADHNANI",
        "first_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-06-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.