Individual provider Active NPI

Neil Kunal Sangroy, DDS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1811476526
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61443020 Issued in WA
Practice address
1416 NW 46TH St Ste 106
Seattle, WA 98107-4622
Phone
(206) 783-0330
NPI assigned
Aug 13, 2018
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7128 NV
General Practice Dentistry 1223G0001X DE61443020 WA Primary

Addresses

Primary practice location

1416 NW 46TH St Ste 106
Seattle, WA 98107-4622

Mailing address

1416 NW 46TH St Ste 106
Seattle, WA 98107-4622
Phone (206) 783-0330

Other names 1

  • Mr. Kunal Sangroy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61443020WAMDGeneral Practice Dentistry
7128NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC General Practice PastSince Aug 6, 2023 Accepting new patients
Lee MLK Dental Group, PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1811476526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 NW 46TH ST STE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074622",
            "telephone_number": "206-783-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 NW 46TH ST STE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074622",
            "telephone_number": "206-783-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGROY",
        "first_name": "NEIL",
        "middle_name": "KUNAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7128",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61443020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUNAL",
            "last_name": "SANGROY",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.