Individual provider Active NPI

Vijitha Sanam, DMD

  • Dentist
  • Shrewsbury, MA
National Provider Identifier
1699930867
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22154 Issued in MA
Practice address
274 Walnut St
Unit-1
Shrewsbury, MA 01545-3318
Phone
(508) 925-5562
NPI assigned
Jul 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22154 MA Primary

Addresses

Primary practice location

274 Walnut St
Unit-1
Shrewsbury, MA 01545-3318

Mailing address

274 Walnut St
Unit-1
Shrewsbury, MA 01545-3318
Phone (508) 925-5562

Other practice location 1

14 Seton Dr
Shrewsbury, MA 01545-5467
Phone (508) 439-3851

Other identifiers 1

IdentifierTypeStateIssuer
22154OtherMADENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180305002111 MA Order and Referring Only - DentistPractitioner - Dentist 5395006514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22154MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
V Care Dental Wellness Group, PLLC CurrentSince Nov 28, 2021 Accepting new patients

Locations

274 Walnut St
#1
Shrewsbury, MA 01545
Phone (508) 439-3851

Organizations & group practices 1

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": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1699930867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WALNUT ST",
            "address_2": "UNIT-1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453318",
            "telephone_number": "508-925-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WALNUT ST",
            "address_2": "UNIT-1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453318",
            "telephone_number": "508-925-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Seton Dr",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "015455467",
            "country_code": "US",
            "telephone_number": "508-439-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAM",
        "first_name": "VIJITHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "22154",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.