Dr.Padmaja Yalamanchili DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411072 Issued in VA

Legal business name

DR.PADMAJA YALAMANCHILI DDS PC

Practice address

10875 Main St
Suite #103
Fairfax, VA 22030-4732

Phone

(703) 591-4010

Fax

(703) 591-3672

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Padmaja YalamanchiliNPI 1649346818

Title

President

Phone

(703) 386-6269

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Padmaja Yalamanchili, D.D.S.

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1649346818
  NPD (past) Authorized official

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1174873764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST",
            "address_2": "SUITE #103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-591-4010",
            "fax_number": "703-591-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST",
            "address_2": "SUITE #103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-591-4010",
            "fax_number": "703-591-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.PADMAJA YALAMANCHILI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-386-6269",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Jaklin Bezik & Associates
• Dr. Megan Chavez Tomlinson PLLC
• Dr. Paul H. Rhyu D.C.,O.M.D,PC
• Dr. Stephen C. St. Louis DDS
• Dr. Zhou'S Clinic, PLLC
• Teena Marie Drake-Williams, DO
• Kevin A Draper, MD
• Lucy Drayson
• Anne Heyer Dremluk, RN
• Madeline Culbertson Drenkard

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.