NPI Code Detail JSON Logo

1003170465 NPI number — SARANYA SAKHAMURI DMD

NPI Number: 1003170465
Health Care Provider/Practitioner: SARANYA SAKHAMURI DMD

Information about “1003170465” NPI (SARANYA SAKHAMURI DMD) exists in 1003170465 in HTML format HTML  |  1003170465 in plain Text format TXT  |  1003170465 in PDF (Portable Document Format) PDF  |  1003170465 in an XML format XML  formats.

NPI Number : 1003170465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003170465",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAKHAMURI",
    "FirstName": "SARANYA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "401 ENGAMORE LN APT 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORWOOD",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02062-2556",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-614-1988",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "135 BANK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATERBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06702-2205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-393-5505",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2012",
    "LastUpdateDate": "06/30/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "010791",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "010791",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.