Individual provider Active NPI

Sachin Verma, D.D.S

  • Dentist
  • Kenosha, WI
National Provider Identifier
1497984157
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6604-15 Issued in WI
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

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100005776MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306003306 WI Order and Referring Only - DentistPractitioner - Dentist 8628317765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028017ILMDDentist
137000782ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxident LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.