Organization Active NPI

Anupama Viswanathan Dental, PLLC

  • Periodontics
  • North Bellmore, NY
National Provider Identifier
1235057258
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ANUPAMA VISWANATHAN DENTAL, PLLC
Practice address
2415 Jerusalem Ave Ste 103
North Bellmore, NY 11710-1857
Phone
(818) 930-0145
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Dr. Anupama Viswanathan, DDS, MDS
Title
Owner/ Managing Member
Phone
(818) 930-0145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2415 Jerusalem Ave Ste 103
North Bellmore, NY 11710-1857

Mailing address

2415 Jerusalem Ave Ste 103
North Bellmore, NY 11710-1857
Phone (818) 930-0145

National Provider Directory

National Provider Directory

Locations

2415 Jerusalem Ave
Ste 103
North Bellmore, NY 11710
Phone (516) 679-1145

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1235057258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE STE 103",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101857",
            "telephone_number": "818-930-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE STE 103",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101857",
            "telephone_number": "818-930-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUPAMA VISWANATHAN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "VISWANATHAN",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "OWNER/ MANAGING MEMBER",
        "authorized_official_telephone_number": "818-930-0145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.