Individual provider Active NPI

Lakshmi Sajja, DDS

  • General Practice Dentistry
  • Litchfield, IL
National Provider Identifier
1669062402
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013541A Issued in IN
Practice address
125 W Columbian Blvd S
Litchfield, IL 62056-3021
Phone
(217) 854-3223
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12013541A IN Primary

Addresses

Primary practice location

125 W Columbian Blvd S
Litchfield, IL 62056-3021

Mailing address

205 Oakland Ave
Carlinville, IL 62626-1921
Phone (217) 854-3223

Other practice location 1

2512 Wabash Ave
Terre Haute, IN 47803-1506
Phone (888) 988-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210721002856 IL Practitioner - Dentist 6305249822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013541AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin County Public Health Department CurrentSince Jul 12, 2021 Accepting new patients
Macoupin County Public Health Department CurrentSince Jul 12, 2021 Accepting new patients
Macoupin County Public Health Department Current Accepting new patients
Familia Dental Terre Haute LLC General Practice PastSince Jan 31, 2021 Accepting new patients

Locations

205 Oakland Ave
Carlinville, IL 62626
Phone (217) 839-7820

1115 Morgan St
Carlinville, IL 62626
Phone (217) 854-3223

805 N Broad St
Carlinville, IL 62626
Phone (217) 854-3223

109 E Maple St
Gillespie, IL 62033
Phone (217) 839-1526

125 W Columbian Blvd S
Litchfield, IL 62056
Phone (217) 250-2360

805 Saint Francis Way
Litchfield, IL 62056
Phone (217) 839-4141

Interoperability endpoints

  • Direct secure messaging: lakshmi.sajja.p30@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 4

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1669062402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W COLUMBIAN BLVD S",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620563021",
            "telephone_number": "217-854-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478031506",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "LAKSHMI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, IL

Sources for this page

Verify at the official NPI Registry.