Sruthi Sasi Prakash

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014264A Issued in IN

Practice address

2459 W Jonathan Moore Pike
Columbus, IN 47201-9206

Phone

(812) 516-5777

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306530415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 WILLIAMSBURG STATION LN APT 106",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827819",
            "telephone_number": "440-753-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 W JONATHAN MOORE PIKE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019206",
            "telephone_number": "812-516-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Williamsburg Station Ln Apt 106",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272827819",
            "country_code": "US",
            "telephone_number": "440-753-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASI PRAKASH",
        "first_name": "SRUTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13254",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Sanders, SLP
• Shirley Joanne Sanders, NURSE PRACTITIONER
• Abril Santana, RBT
• Monica Santana, RBT
• Kristen K Sasena, MS, LAT, ATC, CEIS
• Satcher PT
• Satcher PT LLC
• Susan E Sawin-Johnson, D.D.S.
• Dan Scales, RPH
• Krista Scgalski

• General Practice Dentistry in Columbus, IN
• Providers in Columbus, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.