Active NPI
Sanjariben Sanghani, DMD
- Dentist
- Putnam, CT
National Provider Identifier
1619528841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13054
- Practice address
- 202 Pomfret St
Putnam, CT 06260-1833 - Phone
- (860) 963-7917
- NPI assigned
- Sep 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13054 | CT | Primary |
| Dentist | 122300000X | DN1858494 | MA |
Addresses
Primary practice location
202 Pomfret St
Putnam, CT 06260-1833
Mailing address
40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191223002192 | MA | Order and Referring Only - Dentist | 9436583507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13054 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1619528841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262018",
"telephone_number": "860-450-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601833",
"telephone_number": "860-963-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGHANI",
"first_name": "SANJARIBEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13054",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.