Individual provider Active NPI

Shreemayi Sunil, DMD

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1821118019
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29593 Issued in TX
Practice address
5605 FM 423 Ste 600
Frisco, TX 75034-8962
Phone
(972) 987-4343
Fax
(469) 362-1511
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 2190400 NJ
General Practice Dentistry 1223G0001X 29593 TX Primary

Addresses

Primary practice location

5605 FM 423 Ste 600
Frisco, TX 75034-8962

Mailing address

5605 FM 423 Ste 600
Frisco, TX 75034-8962
Phone (972) 987-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230703000087 FL Order and Referring Only - DentistPractitioner - Dentist 1850750217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2190400NJMDGeneral Practice Dentistry
29593TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfront Family Dentistry PLLC PastSince Jan 1, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1821118019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348962",
            "telephone_number": "972-987-4343",
            "fax_number": "469-362-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348962",
            "telephone_number": "972-987-4343",
            "fax_number": "469-362-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNIL",
        "first_name": "SHREEMAYI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "2190400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.