Sanju Basi DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SANJU BASI DDS PLLC

Doing business as

Sanju Basi DDS

Practice address

19 Summer St
Rockland, ME 04841-2917

Phone

(207) 594-8353

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sanju Basi, DDS

Title

Dentist

Phone

(248) 954-6840

Specialties & licenses 1

Addresses

Other names 2

• Sanju Basi DDS Doing business as
• Rockland Family Dentistry Other name

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692403200000",
    "number": "1851081012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "207-594-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "207-594-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJU BASI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "BASI",
        "authorized_official_first_name": "SANJU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-954-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanju Basi DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockland Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessie Rottersman, OTR
• Jamie Michelle Russell, CADC
• Kathryn M. Ryan, LCSW
• Donald E Saastamoinen, LCPC
• Lisa Marie Sanders
• Kimberly Saunders
• Deborah Savage
• Diane Scalia, LCSW
• Kimberly Marie Scheimreif, COTA/L
• Robert Gerald Schneider, LCPC-C

• Dental Clinic/Center in Rockland, ME
• Providers in Rockland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2023; 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.