Sanjay Kumar Vanjarapu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12210 Issued in MN

Practice address

195 Jefferson Blvd
Big Lake, MN 55309-9572

Phone

(763) 263-2222

NPI assigned

Nov 14, 2006

Sex

Male

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

Practice roles

Interoperability endpoints

• Direct secure messaging: svanjarapu@direct.westerndental.com

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.

• Dental Delivery Systems of Maple Grove LLC

  • General Practice Dentistry
  • Maple Grove, MN
  • NPI 1760272611
  NPD (past)
• Dental Delivery Systems, PA

  • General Practice Dentistry
  • Savage, MN
  • NPI 1003988122
  NPD (past)
• Dental Services Inc

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1013069012
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1841362019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13899 HIGHWAY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782135",
            "telephone_number": "952-440-2292",
            "fax_number": "952-440-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 JEFFERSON BLVD",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099572",
            "telephone_number": "763-263-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANJARAPU",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Stephens
• Nicole Rae Straw, MA OTR,L
• Barbro E Strom Langley
• Lola B Sutherland, MD
• The Gathering Assistant Living
• Mary Ellen Venzke
• Grant Michael Vickerman
• Erin Viegut, PT, DPT
• Mariane Lyn Walin, PT, DPT, CIMT
• Jennica Wanha, MA

• General Practice Dentistry in Big Lake, MN
• Providers in Big Lake, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.