Individual provider Active NPI

Harkeet Sappal, DDS

  • Endodontics
  • Sacramento, CA
National Provider Identifier
1629459227
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
64541 Issued in CA
Practice address
2830 G St Ste 100
Sacramento, CA 95816-3784
Phone
(916) 446-9100
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN 210013 FL
Endodontics 1223E0200X 64541 CA Primary

Addresses

Primary practice location

2830 G St Ste 100
Sacramento, CA 95816-3784

Mailing address

1160 Marlowe CT
Vacaville, CA 95687-5265
Phone (707) 761-2482

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
I20151007000993 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4587972898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 210013FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew a. Korn, DDS, Professional Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1629459227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MARLOWE CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875265",
            "telephone_number": "707-761-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 G ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163784",
            "telephone_number": "916-446-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPPAL",
        "first_name": "HARKEET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 210013",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "64541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.