Namassivaya Sumithra, B.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037014 Issued in NY

Practice address

1407 Route 9
Bulding 2,Suite7
Clifton Park, NY 12065-6587

Phone

(518) 371-2513

Fax

(518) 371-2513

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1245453000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ROUTE 9",
            "address_2": "BUILDING 2,SUITE7",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656587",
            "telephone_number": "518-371-2513",
            "fax_number": "518-371-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ROUTE 9",
            "address_2": "BULDING 2,SUITE7",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656587",
            "telephone_number": "518-371-2513",
            "fax_number": "518-371-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMITHRA",
        "first_name": "NAMASSIVAYA",
        "name_prefix": "Dr.",
        "credential": "B.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.