Mysore Sanathkumar Ganga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051064 Issued in NY

Practice address

7517 41St Ave
Elmhurst, NY 11373-1004

Phone

(718) 803-6300

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Prudent Dental Care,P.C

  • General Practice Dentistry
  • Elmhurst, NY
  • NPI 1992013973
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609082833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 IRENE LN S",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031916",
            "telephone_number": "516-470-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 41ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731004",
            "telephone_number": "718-803-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGA",
        "first_name": "MYSORE",
        "middle_name": "SANATHKUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02489976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebastian Gallo Bernal, MD
• Eduardo Gambini-Suarez
• Almira Gamboa
• Ian Martinez Gampon, M.D.
• Jyoti R Gandhi
• Tulsidai Devi Gangarum
• John Ganiaris
• Meiling Gao
• Audrey Garces, RN
• Beatrice Colon Garcia, OTR/L

• General Practice Dentistry in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.