Individual provider Active NPI

Sarathy S Amanjee, DDS

  • General Practice Dentistry
  • Granite Bay, CA
National Provider Identifier
1821134586
Registry record updated May 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49449 Issued in CA
Practice address
5410 Spencer LN
Granite Bay, CA 95746-6305
Phone
(916) 872-7113
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49449 CA Primary

Addresses

Primary practice location

5410 Spencer LN
Granite Bay, CA 95746-6305

Mailing address

5410 Spencer LN
Granite Bay, CA 95746-6305
Phone (916) 872-7113

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amanjeesarathy@hotmail.com Direct

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

LicenseStateTypeSpecialty
49449CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarathy Amanjee DDS Inc. Current Accepting new patients
Sarathy Amanjee Inc. CurrentSince Sep 8, 2024 Accepting new patients
Western Dental Services, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1821134586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SPENCER LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466305",
            "telephone_number": "916-872-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SPENCER LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466305",
            "telephone_number": "916-872-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANJEE",
        "first_name": "SARATHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amanjeesarathy@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any health care service.",
            "address_1": "5410 Spencer Ln",
            "city": "Granite Bay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957466305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.