Gayathri Sambasivan, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11604 Issued in MN

Practice address

7373 France Ave So
Suite 402
Edina, MN 55435-4598

Phone

(952) 831-4400

Fax

(952) 893-3041

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841303526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CLEARWATER DR",
            "address_2": "SUITE 210",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439468",
            "telephone_number": "952-932-0920",
            "fax_number": "952-932-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE SO",
            "address_2": "SUITE 402",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354598",
            "telephone_number": "952-831-4400",
            "fax_number": "952-893-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBASIVAN",
        "first_name": "GAYATHRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "11604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Salemohamed, PT
• Kabul Salih
• Gregory Harold Salmi, M.D.
• Sam Sauza DDS PC (Stacked Smiles Edina)
• Sumaiya Abdul Samat
• Sami Transportation Inc
• Christine S Samples Siegel, LP
• Joleen Kay Samson, D.C.
• Holly Samuels, PHARMD
• Nicholas Peter Sanborn, M.D.

• Pediatric Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Pediatric Dentistry in Minnesota

• 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.