Sagar Kakadia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015678 Issued in GA

Practice address

1755 Woodstock Rd Ste 100
Roswell, GA 30075-2135

Phone

(770) 993-6893

NPI assigned

Jun 13, 2018

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ekdanta Dental Group LLC

  • General Practice Dentistry
  • Smyrna, GA
  • NPI 1417828732
  NPD Authorized official
• Clifford Avenue Dental LLC

  dba Screven Dental

  • General Practice Dentistry
  • Sylvania, GA
  • NPI 1831954304
  NPD
• Douglasville Dental Associates, P.C.

  • General Practice Dentistry
  • Douglasville, GA
  • NPI 1639353964
  NPD (past)
• Modern Dentistry

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1518857820
  NPD (past)
• Screven Dental

  • Dental Clinic/Center
  • Sylvania, GA
  • NPI 1821501040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1770076721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CLIFFORD AVE",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672012",
            "telephone_number": "912-564-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WOODSTOCK RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752135",
            "telephone_number": "770-993-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKADIA",
        "first_name": "SAGAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Ju, MD
• Shreyas Jyotishi, DC
• K Smiles Dental PC
• Lesa Kagan, AUD, CCC-A
• Janet Kairu, RPH
• Robert James Kakos, DDS
• Khaim Kalantarov
• Jayalakshmi Reedy Kalathoor, MD
• Morgan Green Kamau, PT, DPT
• Devyani Kambaliya

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.

Verify at the official NPI Registry.