Individual provider Active NPI

Preeti Sahasi, DMD

  • General Practice Dentistry
  • Pikeville, KY
National Provider Identifier
1972621985
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8577 Issued in KY
Practice address
126 Trivette Dr Ste 303
Pikeville, KY 41501-1275
Phone
(606) 437-9601
Fax
(606) 437-1315
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8577 KY Primary
General Practice Dentistry 1223G0001X 4122 WV

Addresses

Primary practice location

126 Trivette Dr Ste 303
Pikeville, KY 41501-1275

Mailing address

126 Trivette Dr Ste 303
Pikeville, KY 41501-1275
Phone (606) 437-9601

Other practice location 1

193 Main St
Pikeville, KY 41501-1147
Phone (606) 437-9601

Other identifiers 4

IdentifierTypeStateIssuer
0000000258208OtherDENTAL BENEFIT PROVIDERS
0019759810002MedicaidPA
169273OtherUNISON UNITED HEALTHCARE
7100170730MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820012361 WV Practitioner - Dentist 3274848445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8577KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Health & Wellness Center Inc CurrentSince Jun 22, 2015 Accepting new patients
Williamson Health & Wellness Center Inc Current Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Jun 22, 2015 Accepting new patients
Valley Sleep Physicians, Inc PastSince Feb 10, 2014 Accepting new patients

Locations

184 E 2nd Ave
Ste 210
Williamson, WV 25661

184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1972621985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DR STE 303",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011275",
            "telephone_number": "606-437-9601",
            "fax_number": "606-437-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DR STE 303",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011275",
            "telephone_number": "606-437-9601",
            "fax_number": "606-437-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Main St",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011147",
            "country_code": "US",
            "telephone_number": "606-437-9601",
            "fax_number": "606-437-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHASI",
        "first_name": "PREETI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8577",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDERS",
            "identifier": "0000000258208",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019759810002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON UNITED HEALTHCARE",
            "identifier": "169273",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100170730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.