Active NPI
Sujata Tungare
- Dentist
- Minneapolis, MN
National Provider Identifier
1457045833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14905
- Practice address
- 7500 42ND Ave N
Minneapolis, MN 55427-1225 - Phone
- (763) 252-6350
- NPI assigned
- Jun 7, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14905 | MN | Primary |
Addresses
Primary practice location
7500 42ND Ave N
Minneapolis, MN 55427-1225
Mailing address
7350 Gallagher Dr Apt 259
Edina, MN 55435-3161
Phone (315) 480-7548
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 |
|---|---|---|---|
| D14905 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1457045833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 GALLAGHER DR APT 259",
"city": "EDINA",
"state": "MN",
"postal_code": "554353161",
"telephone_number": "315-480-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 42ND AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554271225",
"telephone_number": "763-252-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNGARE",
"first_name": "SUJATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.