Kundan B Sata, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105690 Issued in MI

Practice address

10000 Wayne Rd
102
Romulus, MI 48174-3445

Phone

(734) 942-0560

Fax

(734) 942-5955

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871647933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WAYNE RD",
            "address_2": "102",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743445",
            "telephone_number": "734-942-0560",
            "fax_number": "734-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WAYNE RD",
            "address_2": "102",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743445",
            "telephone_number": "734-942-0560",
            "fax_number": "734-942-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATA",
        "first_name": "KUNDAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "105690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Romulus, MI
• Providers in Romulus, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.