Active NPI
Shashi Sarvananda, DDS
- Dentist
- Flint, MI
National Provider Identifier
1730380668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901018651
- Practice address
- G2432 W Carpenter Rd
Flint, MI 48505-1983 - Phone
- (810) 785-7500
- NPI assigned
- May 29, 2007
- 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 | 2901018651 | MI | Primary |
Addresses
Primary practice location
G2432 W Carpenter Rd
Flint, MI 48505-1983
Mailing address
G2432 W Carpenter Rd
Flint, MI 48505-1983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4864411 | Medicaid | MI | |
| SS018651 | Other | MI | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 2901018651 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730380668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G2432 W CARPENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485051983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G2432 W CARPENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485051983",
"telephone_number": "810-785-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARVANANDA",
"first_name": "SHASHI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4864411",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "SS018651",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.