Individual provider Active NPI

Kavi Sagunarthy, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1962667576
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053920 Issued in NY
Practice address
266 E 167TH St
Bronx, NY 10456-4017
Phone
(718) 991-8668
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053920 NY Primary

Addresses

Primary practice location

266 E 167TH St
Bronx, NY 10456-4017

Mailing address

77 Meadow Rue PL
Ballston Spa, NY 12020-4368
Phone (646) 438-0494

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

State licenses

LicenseStateTypeSpecialty
053920NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1962667576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MEADOW RUE PL",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204368",
            "telephone_number": "646-438-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564017",
            "telephone_number": "718-991-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGUNARTHY",
        "first_name": "KAVI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.