Active NPI
Smitha Sanigarapu, D.D.S
- General Practice Dentistry
- Odessa, TX
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
- Last updated
- Oct 17, 2024
- 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 |
|---|---|---|---|
| Familia Dental Odessa PLLC | General Practice | Current | Accepting new patients |
| Sanigarapu PLLC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.