Sushilchandra Ghelabhai Desai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020600L Issued in PA

Practice address

6032 Lansdowne Ave
Philadelphia, PA 19151-4230

Phone

(215) 473-7444

Fax

(215) 473-4183

NPI assigned

Mar 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sushilchandra G. Desai DDS, PC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1932317781
  NPD (past) Authorized official

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1316119308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514230",
            "telephone_number": "215-473-7444",
            "fax_number": "215-473-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514230",
            "telephone_number": "215-473-7444",
            "fax_number": "215-473-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SUSHILCHANDRA",
        "middle_name": "GHELABHAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020600L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008635320002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "DS020600L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar Vinay Desai, DO
• Sapna Desai, MD
• Shaan Himanshu Desai, MD
• Shivraj Jagdish Desai, MD
• Shobhana A. Desai, MD
• Usha B Desai, MD
• Anthony J Desalvo, D.0.
• Jessica L. Desalvo, D.O.
• April Desantis, MOT, OTR/L
• Eliza Caroline Desantis, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; 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.