Individual provider Active NPI

Smitha Sanigarapu, D.D.S

  • General Practice Dentistry
  • Odessa, TX
National Provider Identifier
1861705907
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25805 Issued in TX
Practice address
1401 E 8TH St
Odessa, TX 79761-4802
Phone
(432) 332-8550
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25805 TX
General Practice Dentistry 1223G0001X 25805 TX Primary

Addresses

Primary practice location

1401 E 8TH St
Odessa, TX 79761-4802

Mailing address

1922 Greenhouse Rd Ste 475
Houston, TX 77084-8050
Phone (313) 244-9054

Other practice location 1

1922 Greenhouse Rd Ste 475
Houston, TX 77084-8050
Phone (281) 661-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150811004793 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274848866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanigarapu PLLC Dentist CurrentSince Oct 20, 2024 Accepting new patients
Familia Dental Odessa PLLC General Practice CurrentSince Oct 20, 2024 Accepting new patients

Locations

1922 Greenhouse Rd
Ste 475
Houston, TX 77084
Phone (281) 661-1414

1401 E 8th St
Odessa, TX 79761
Phone (432) 332-8550

Organizations & group practices 2

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1861705907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GREENHOUSE RD STE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770848050",
            "telephone_number": "313-244-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614802",
            "telephone_number": "432-332-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 Greenhouse Rd Ste 475",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770848050",
            "country_code": "US",
            "telephone_number": "281-661-1414",
            "fax_number": "281-661-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANIGARAPU",
        "first_name": "SMITHA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25805",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.