Sandeep Jagini, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010505 Issued in CT

Practice address

297 Boston Post Rd
Orange, CT 06477-3537

Phone

(203) 795-4748

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1427223486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773537",
            "telephone_number": "203-795-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773537",
            "telephone_number": "203-795-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951253",
            "country_code": "US",
            "telephone_number": "413-599-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Route 27",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021300",
            "country_code": "US",
            "telephone_number": "732-276-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGINI",
        "first_name": "SANDEEP",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02965600",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21575",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Spine & Sports Medicine, PC
• Robert Christopher Isner Jr., PHARMD
• Eric D Jackson, PHD
• Willow Lotus Jackson, RN
• Lily Jacobson
• Jim Ronai's Competitive Edge, LLC (Ronai Physical Therapy & Sports Medicine)
• Johnny Mao, MD PC (Mao Facial Plastic Surgery)
• Ernest Lee Johnson III
• David Kaminsky, MD
• Rachel Katzman

• General Practice Dentistry in Orange, CT
• Providers in Orange, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.