Active NPI
Smitha Sanigarapu, D.D.S
- General Practice Dentistry
- Odessa, TX
National Provider Identifier
1861705907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811004793 | TX | Order and Referring Only - Oral Surgery | 3274848866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanigarapu PLLC | Dentist | Current | Accepting new patients |
| Familia Dental Odessa PLLC | General Practice | Current | 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.
-
- Dentist
- Houston, TX
- NPI 1942020573
-
- General Practice Dentistry
- Odessa, TX
- NPI 1861712093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.