Active NPI
Sachin Verma, D.D.S
- Dentist
- Kenosha, WI
National Provider Identifier
1497984157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6604-15
- Practice address
- 4006 Washington Rd
Kenosha, WI 53144-4819 - Phone
- (262) 656-0044
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028017 | IL | |
| Dentist | 122300000X | 6604-15 | WI | Primary |
Addresses
Primary practice location
4006 Washington Rd
Kenosha, WI 53144-4819
Mailing address
4006 Washington Rd
Kenosha, WI 53144-4819
Phone (262) 656-0044
Other practice location 1
903 S 2nd St
Silver Lake, WI 53170-1747
Phone (262) 656-0044
Other practice location 2
6226 14th Ave
Kenosha, WI 53143-4413
Phone (262) 656-0044
Other practice location 3
4536 22nd Ave
Kenosha, WI 53140-5917
Phone (262) 656-0044
Other practice location 4
930 Dr Martin Luther King Dr
Racine, WI 53404-3008
Phone (262) 656-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100005776 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190306003306 | WI | Order and Referring Only - Dentist | 8628317765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019028017 | IL | MD | Dentist |
| 137000782 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxident LLC | Past | Accepting new patients |
Interoperability endpoints
- sverma594938@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Joliet, IL
- NPI 1932543329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1497984157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 WASHINGTON RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531444819",
"telephone_number": "262-656-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 WASHINGTON RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531444819",
"telephone_number": "262-656-0044"
}
],
"practiceLocations": [
{
"address_1": "903 S 2nd St",
"address_purpose": "LOCATION",
"city": "Silver Lake",
"state": "WI",
"postal_code": "531701747",
"country_code": "US",
"telephone_number": "262-656-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6226 14th Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531434413",
"country_code": "US",
"telephone_number": "262-656-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4536 22nd Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531405917",
"country_code": "US",
"telephone_number": "262-656-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "930 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Racine",
"state": "WI",
"postal_code": "534043008",
"country_code": "US",
"telephone_number": "262-656-0044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMA",
"first_name": "SACHIN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028017",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6604-15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100005776",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.