Individual provider Active NPI

Amit Sachdeo, BDS, MS, DMSC

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1811100852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9147-LIMITED REG. Issued in MA
Practice address
Tufts Dental Associates, 1 Kneeland Street
Boston, MA 02111
Phone
(617) 429-8884
Fax
(617) 636-6583
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9147-LIMITED REG. MA Primary

Addresses

Primary practice location

Tufts Dental Associates, 1 Kneeland Street
Boston, MA 02111

Mailing address

464 Commonwealth Ave
Suite 15
Boston, MA 02215-2701
Phone (617) 429-8884

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9147-LIMITED REG.MAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811100852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 COMMONWEALTH AVE",
            "address_2": "SUITE 15",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152701",
            "telephone_number": "617-429-8884",
            "fax_number": "617-636-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS DENTAL ASSOCIATES, 1 KNEELAND STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-429-8884",
            "fax_number": "617-636-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEO",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "BDS, MS, DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "9147-LIMITED REG.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

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.

Verify at the official NPI Registry.