Individual provider Active NPI

Mustapha A Sanni

  • Student in an Organized Health Care Education/Training Program
  • Greenville, SC
National Provider Identifier
1447032719
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
607 Grove Rd
Greenville, SC 29605-4208
Phone
(478) 387-8041
NPI assigned
Oct 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X SC Primary

Addresses

Primary practice location

607 Grove Rd
Greenville, SC 29605-4208

Mailing address

604 Grove Rd Unit B
Greenville, SC 29605-4209
Phone (478) 387-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428004277 NC Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 7113443649

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1447032719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GROVE RD UNIT B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054209",
            "telephone_number": "478-387-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054208",
            "telephone_number": "478-387-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNI",
        "first_name": "MUSTAPHA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.