Individual provider Active NPI

Elena Sangachhe, DDS

  • General Practice Dentistry
  • Apple Valley, MN
National Provider Identifier
1386684710
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12199 Issued in MN
Practice address
14929 Florence TRL
Apple Valley, MN 55124-4631
Phone
(952) 432-7366
NPI assigned
Jun 7, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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 D12199 MN Primary

Addresses

Primary practice location

14929 Florence TRL
Apple Valley, MN 55124-4631

Mailing address

14929 Florence TRL
Apple Valley, MN 55124-4631
Phone (952) 432-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160115000234 MN Order and Referring Only - DentistPractitioner - Dentist 2163725730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12199MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Dental Partners, PLLC General Practice PastSince May 8, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1386684710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14929 FLORENCE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244631",
            "telephone_number": "952-432-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14929 FLORENCE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244631",
            "telephone_number": "952-432-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGACHHE",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.