Individual provider Active NPI

Savpreet Dhami, DDS

  • General Practice Dentistry
  • Cicero, NY
National Provider Identifier
1841377967
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055482 Issued in NY
Practice address
8370 Thompson Rd
Cicero, NY 13039-8332
Phone
(315) 698-4472
Fax
(315) 698-4473
NPI assigned
Nov 1, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 055482 NY Primary

Addresses

Primary practice location

8370 Thompson Rd
Cicero, NY 13039-8332

Mailing address

8370 Thompson Rd
Cicero, NY 13039-8332
Phone (315) 698-4472

Other identifiers 1

IdentifierTypeStateIssuer
02718138MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160608000847 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2466742101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055482NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1841377967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 THOMPSON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398332",
            "telephone_number": "315-698-4472",
            "fax_number": "315-698-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 THOMPSON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398332",
            "telephone_number": "315-698-4472",
            "fax_number": "315-698-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAMI",
        "first_name": "SAVPREET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02718138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

Verify at the official NPI Registry.