Sanjaya P Perera

Primary specialty

DriverTaxonomy code 172A00000X

License

K02000264 Issued in KS

Practice address

649 S Cherrywood Cir
Andover, KS 67002-8948

Phone

(316) 708-1950

NPI assigned

Oct 9, 2018

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Male

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

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.

• Wisdom Travels LLC

  • Non-emergency Medical Transport (VAN)
  • Wichita, KS
  • NPI 1447461082
  Authorized official Same address or phone

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1972078673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S CHERRYWOOD CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028948",
            "telephone_number": "316-708-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S CHERRYWOOD CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028948",
            "telephone_number": "316-708-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "SANJAYA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "KS",
            "license": "K02000264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Osburn, RDN, LD
• Erin Osler
• Outcomes Laboratory LLC
• Barry Parrish
• Iris Michael Pauly, M.S.
• Mai-Khoi Pham, PHARMD
• Pharmacon Drug P.a. Dba Andover Drug
• Deanna Dawn Phillips, LMFT
• Physical Therapy at Fho LLC (Physical Therapy @ FHO LLC)
• Amy H Pierce, LMSW

• Driver in Andover, KS
• Providers in Andover, KS by specialty
• Driver in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.