Individual provider Active NPI

Swetha Sajja, DDS

  • Dentist
  • Weston, FL
National Provider Identifier
1396111522
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21504 Issued in FL
Practice address
120 Lakeview Dr
Apt #202
Weston, FL 33326-2510
Phone
(330) 313-1224
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21504 FL Primary

Addresses

Primary practice location

120 Lakeview Dr
Apt #202
Weston, FL 33326-2510

Mailing address

120 Lakeview Dr
Apt #202
Weston, FL 33326-2510
Phone (330) 313-1224

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
DN21504FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1396111522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKEVIEW DR",
            "address_2": "APT #202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262510",
            "telephone_number": "330-313-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKEVIEW DR",
            "address_2": "APT #202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262510",
            "telephone_number": "330-313-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "SWETHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.