Sanju Basi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN5002 Issued in ME

Practice address

19 Summer Street
Rockland, ME 04841-9800

Phone

(207) 594-8353

NPI assigned

Aug 31, 2018

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanju Basi DDS PLLC

  dba Sanju Basi DDS

  • Dental Clinic/Center
  • Rockland, ME
  • NPI 1851081012
  Authorized official Same address or phone

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1477035905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "207-594-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUMMER STREET",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048419800",
            "telephone_number": "207-594-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASI",
        "first_name": "SANJU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0134141",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203772",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Dental Hygiene
• Olivia Jeanne Audet
• Lauren Ball, D.O.
• Amy Barnett, MS LADC CCS
• Sydney Leah Barnhart
• Bay Chiropractic Center, P.a.
• Christine Ann Beguin-Fernald, DNP, PMHNP, BSN, RN
• Karissa Beverage, M.T.
• Carrie Bernice Bickford, LCSW
• Christopher J Blais, PHARMD

• Dentist in Rockland, ME
• Providers in Rockland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.