Individual provider Active NPI

Sanjay Merchant, DDS

  • Dentist
  • La Puente, CA
National Provider Identifier
1609320027
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100719 Issued in CA
Practice address
15321 Elliot Ave
La Puente, CA 91744-2711
Phone
(626) 968-3793
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100719 CA Primary

Addresses

Primary practice location

15321 Elliot Ave
La Puente, CA 91744-2711

Mailing address

15321 Elliot Ave
La Puente, CA 91744-2711
Phone (626) 968-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180307002324 CA Order and Referring Only - DentistPractitioner - Dentist 8527329564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100719CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
S Merchant Dental Corporation Current Accepting new patients
Sanjay Merchant DDS Inc Current Accepting new patients
Paresh B. Kumar, DDS,Inc Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1609320027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 ELLIOT AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442711",
            "telephone_number": "626-968-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 ELLIOT AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442711",
            "telephone_number": "626-968-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.