Active NPI
Elkhan Sadigov
- Dentist
- Worcester, MA
National Provider Identifier
1649155185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL100965
- Practice address
- 115 NE Cutoff Ste 200
Worcester, MA 01606-1224 - Phone
- (508) 595-0746
- NPI assigned
- Aug 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL100965 | MA | Primary |
Addresses
Primary practice location
115 NE Cutoff Ste 200
Worcester, MA 01606-1224
Mailing address
1555 VFW Pkwy Unit 324
West Roxbury, MA 02132-5577
Phone (832) 528-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL100965 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1649155185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 VFW PKWY UNIT 324",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021325577",
"telephone_number": "832-528-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE CUTOFF STE 200",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061224",
"telephone_number": "508-595-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADIGOV",
"first_name": "ELKHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL100965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.