Individual provider Active NPI

Perraychudhan Saravanane

  • Dentist
  • Mechanicsville, VA
National Provider Identifier
1245918655
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419562 Issued in VA
Practice address
7089 Mechanicsville Tpke Ste a
Mechanicsville, VA 23111-3609
Phone
(804) 417-7788
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401419562 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7089 Mechanicsville Tpke Ste a
Mechanicsville, VA 23111-3609

Mailing address

7089 Mechanicsville Tpke Ste a
Mechanicsville, VA 23111-3609
Phone (804) 417-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401419562VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1245918655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7089 MECHANICSVILLE TPKE STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113609",
            "telephone_number": "804-417-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7089 MECHANICSVILLE TPKE STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113609",
            "telephone_number": "804-417-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAVANANE",
        "first_name": "PERRAYCHUDHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419562",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.