Individual provider Active NPI

Saumya Prajapati, BDS, PHD, MSD

  • Periodontics
  • Burlington, WA
National Provider Identifier
1861061871
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DENT.DE.61153023 Issued in WA
Practice address
205 W Fairhaven Ave Ste C
Burlington, WA 98233-1062
Phone
(443) 742-3906
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DENT.DE.61153023 WA Primary

Addresses

Primary practice location

205 W Fairhaven Ave Ste C
Burlington, WA 98233-1062

Mailing address

3030 130TH Ave NE
Bellevue, WA 98005-1642
Phone (443) 742-3906

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DENT.DE.61153023WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Saumya Prajapati PLLC Periodontics Current Accepting new patients

Locations

205 W Fairhaven Ave
Ste C
Burlington, WA 98233
Phone (360) 757-0201

Organizations & group practices 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1861061871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 130TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051642",
            "telephone_number": "443-742-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE STE C",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "443-742-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAJAPATI",
        "first_name": "SAUMYA",
        "name_prefix": "Dr.",
        "credential": "BDS, PHD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DENT.DE.61153023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.