Active NPI
Lakshmi Sajja, DDS
- General Practice Dentistry
- Litchfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013541A
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013541A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macoupin County Public Health Department | Current | Accepting new patients | |
| Macoupin County Public Health Department | Current | Accepting new patients | |
| Macoupin County Public Health Department | Current | Accepting new patients | |
| Familia Dental Terre Haute LLC | General Practice | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Gillespie, IL
- NPI 1538444906
-
- Federally Qualified Health Center (FQHC)
- Carlinville, IL
- NPI 1184351173
-
- Federally Qualified Health Center (FQHC)
- Litchfield, IL
- NPI 1720687841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.