Individual provider Active NPI

Sangita Venkatesh, DMD

  • Dentist
  • Cumming, GA
National Provider Identifier
1386716108
Registry record updated Dec 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012965 Issued in GA
Practice address
907 Buford Rd
#100
Cumming, GA 30041-2710
Phone
(678) 922-8282
Fax
(678) 310-1332
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN012965 GA Primary

Addresses

Primary practice location

907 Buford Rd
#100
Cumming, GA 30041-2710

Mailing address

907 Buford Rd
#100
Cumming, GA 30041-2710
Phone (678) 922-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012965GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawsonville Smiles LLC Current Accepting new patients
Apex Dental Inc Dentist Current Accepting new patients
Bright Smiles Dental Center, P.C. Past Accepting new patients

Locations

78 Dawson Village Way N
Ste 170
Dawsonville, GA 30534
Phone (407) 340-4304

845 Scenic Hwy
Ste 300
Lawrenceville, GA 30046
Phone (770) 277-5588

Organizations & group practices 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1386716108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BUFORD RD",
            "address_2": "#100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412710",
            "telephone_number": "678-922-8282",
            "fax_number": "678-310-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BUFORD RD",
            "address_2": "#100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412710",
            "telephone_number": "678-922-8282",
            "fax_number": "678-310-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "SANGITA",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.