Diya Dental Services LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIYA DENTAL SERVICES LLC

Practice address

2177 Oak Tree Rd Ste 101
Edison, NJ 08820-1082

Phone

(732) 809-6688

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chandan Venkatesh Reddy Salukooti, DMD

Title

Registered Agent

Phone

(732) 809-6688

Specialties & licenses 2

Addresses

Other names 1

• DIYA DENTAL SERVICES Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandan Venkatesh, DMD

  • General Practice Dentistry
  • Edison, NJ
  • NPI 1093314668
  NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1114749934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 WESTGATE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201164",
            "telephone_number": "732-809-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082",
            "telephone_number": "732-809-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYA DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "REDDY SALUKOOTI",
        "authorized_official_first_name": "CHANDAN",
        "authorized_official_middle_name": "VENKATESH",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "732-809-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIYA DENTAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Divint Health
• Rajeshwari Diwana, D.D.S
• Sharmilee Dixit, PT
• Sheetal Dixit
• Arcelio Dixon de Gracia, DO
• Donna Clerici Diziki, D.O.
• Gladys May Casayuran Dizon
• Angela Djeng
• DME Care Solutions LLC
• Doctors Associates of Central Jersey LLC

• Dental Clinic/Center in Edison, NJ
• Providers in Edison, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.