Individual provider Active NPI

Datty Sahyouni X, DDS

  • General Practice Dentistry
  • Great Barrington, MA
National Provider Identifier
1437660149
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL13527 Issued in MA
Practice address
343 Main St Rear
Great Barrington, MA 01230-1846
Phone
(413) 528-5565
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL13527 MA
General Practice Dentistry 1223G0001X DL13527 MA Primary

Addresses

Primary practice location

343 Main St Rear
Great Barrington, MA 01230-1846

Mailing address

PO Box 3053
Pittsfield, MA 01202-3053
Phone (413) 449-6935

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1437660149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3053",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012023053",
            "telephone_number": "413-449-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MAIN ST REAR",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301846",
            "telephone_number": "413-528-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHYOUNI",
        "first_name": "DATTY",
        "name_suffix": "X",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13527",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL13527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.