Active NPI
Sanjna Samir Mehta, DMD
- Dentist
- Seattle, WA
National Provider Identifier
1659060044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61416718
- Practice address
- 1732 Broadway Unit 101
Seattle, WA 98122-2621 - Phone
- (484) 340-8240
- NPI assigned
- May 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61416718 | WA | Primary |
Addresses
Primary practice location
1732 Broadway Unit 101
Seattle, WA 98122-2621
Mailing address
4744 12TH Ave NE Apt 512
Seattle, WA 98105-4695
Phone (484) 340-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20230712003856 | WA | Order and Referring Only - Dentist | 6901266782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61416718 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1659060044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4744 12TH AVE NE APT 512",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054695",
"telephone_number": "484-340-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 BROADWAY UNIT 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222621",
"telephone_number": "484-340-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SANJNA",
"middle_name": "SAMIR",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61416718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.