Individual provider Active NPI

Senharip Tanoglu, DMD

  • Dentist
  • Worcester, MA
National Provider Identifier
1548355746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17386 Issued in MA
Practice address
101 Pleasant Street
Suite 208
Worcester, MA 01609-3213
Phone
(508) 770-0808
Fax
(508) 754-3145
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17386 MA Primary

Addresses

Primary practice location

101 Pleasant Street
Suite 208
Worcester, MA 01609-3213

Mailing address

101 Pleasant Street
Suite 208
Worcester, MA 01609-3213
Phone (508) 770-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150319002214 MA Order and Referring Only - DentistPractitioner - Dentist 4284951823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17386MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548355746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT STREET",
            "address_2": "SUITE 208",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-770-0808",
            "fax_number": "508-754-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT STREET",
            "address_2": "SUITE 208",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-770-0808",
            "fax_number": "508-754-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOGLU",
        "first_name": "SENHARIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.