Puja Nilesh Sangoi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1149 Issued in KY

Practice address

4435 Hillcrest Oaks
Owensboro, KY 42303-1967

Phone

(270) 314-9734

NPI assigned

Feb 4, 2020

Sex

Female

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

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1508498999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 HILLCREST OAKS",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031967",
            "telephone_number": "270-314-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 HILLCREST OAKS",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031967",
            "telephone_number": "270-314-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGOI",
        "first_name": "PUJA",
        "middle_name": "NILESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042537",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "1149",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey La'NA Sanders, BSN
• Jason Chad Sanders, ARNP
• Vaughn G Sanders, O.D.
• Krystal Sandoval, LMHC
• Payton Sanford
• Lucia Sao, APRN
• Mohamed A Satti, MD
• Mohammed J. Sayed, MD
• Sca Health Anesthesia-Kentucky LLC
• Robert Houston Schell, MD

• Pediatric Dentistry in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.