Active NPI
Shalini Sanku
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1407085269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 27315
- Practice address
- 9698 Filament Blvd
Jacksonville, FL 32256-0292 - Phone
- (617) 306-7772
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 27315 | TX | Primary |
Addresses
Primary practice location
9698 Filament Blvd
Jacksonville, FL 32256-0292
Mailing address
9698 Filament Blvd
Jacksonville, FL 32256-0292
Phone (617) 306-7772
Other practice location 1
3600 Fm 1488 Rd Ste 90
Conroe, TX 77384-3818
Phone (936) 271-5437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27315 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1407085269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9698 FILAMENT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560292",
"telephone_number": "617-306-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9698 FILAMENT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560292",
"telephone_number": "617-306-7772"
}
],
"practiceLocations": [
{
"address_1": "3600 Fm 1488 Rd Ste 90",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773843818",
"country_code": "US",
"telephone_number": "936-271-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANKU",
"first_name": "SHALINI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "27315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.