NPIMap

Organization Active NPI

Vyshnu P.C

Doing business as Valley Dental - Talent

  • Dentist
  • Talent, OR
National Provider Identifier
1104245125
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9784 Issued in OR
Legal business name
VYSHNU P.C
Doing business as
Valley Dental - Talent
Practice address
160 N Pacific Hwy
Unit # 6
Talent, OR 97540-9686
Phone
(541) 897-4466
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Rajesh ChunduriNPI 1497000848
Title
DMD
Phone
(916) 715-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D9784 OR Primary

Addresses

Primary practice location

160 N Pacific Hwy
Unit # 6
Talent, OR 97540-9686

Mailing address

702 Summerwood Dr
Medford, OR 97504-4336
Phone (916) 715-4080

Other names 1

  • Valley Dental - Talent Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1104245125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUMMERWOOD DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044336",
            "telephone_number": "916-715-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N PACIFIC HWY",
            "address_2": "UNIT # 6",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409686",
            "telephone_number": "541-897-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYSHNU P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "CHUNDURI",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "916-715-4080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental - Talent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talent, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.