Individual provider Active NPI

Sandhya Krishan, D.D.S.

  • Dentist
  • Carrollton, TX
National Provider Identifier
1376700724
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20601 Issued in TX
Practice address
2005 W Hebron Pkwy
Carrollton, TX 70501
Phone
(972) 395-0150
Fax
(972) 395-0150
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20603 TX
Dentist 122300000X 20601 TX Primary

Addresses

Primary practice location

2005 W Hebron Pkwy
Carrollton, TX 70501

Mailing address

2005 W Hebron Pkwy
Carrollton, TX 75010-6522
Phone (972) 395-0150

Other identifiers 1

IdentifierTypeStateIssuer
163810801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240103001051 TX Order and Referring Only - DentistPractitioner - Dentist 0648583872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20601TXMDDentist
20603TXMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Studio of Carrollton Durable Medical Equipment & Medical Supplies CurrentSince Jul 28, 2019 Accepting new patients
Dental Studio of Carrollton Past Accepting new patients

Locations

2005 W Hebron Pkwy
Carrollton, TX 75010
Phone (972) 395-0150

2005 W Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 395-0150

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1376700724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106522",
            "telephone_number": "972-395-0150",
            "fax_number": "972-395-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "70501",
            "telephone_number": "972-395-0150",
            "fax_number": "972-395-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHAN",
        "first_name": "SANDHYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "20603",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163810801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.