Individual provider Active NPI

Sausha Toghranegar, D.M.D.

  • Dentist
  • Davie, FL
National Provider Identifier
1629467626
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21035 Issued in FL
Practice address
2620 S University Dr Apt 114
Davie, FL 33328-1471
Phone
(813) 451-4667
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21035 FL Primary

Addresses

Primary practice location

2620 S University Dr Apt 114
Davie, FL 33328-1471

Mailing address

2620 S University Dr Apt 114
Davie, FL 33328-1471
Phone (813) 451-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180508002242 FL Order and Referring Only - DentistPractitioner - Dentist 8921362450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21035FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1629467626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S UNIVERSITY DR APT 114",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281471",
            "telephone_number": "813-451-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S UNIVERSITY DR APT 114",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281471",
            "telephone_number": "813-451-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGHRANEGAR",
        "first_name": "SAUSHA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.