Put6395 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PUT6395 PLLC

Doing business as

Prompt Dentistry

Practice address

12005 Sunrise Valley Dr Ste 130
Reston, VA 20191-3468

Phone

(571) 249-2839

NPI assigned

Feb 9, 2022

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Punyawat Laohakanjanasiri, DMDNPI 1407414527

Title

Practice Owner

Phone

(571) 446-3554

Specialties & licenses 1

Addresses

Other names 1

• Prompt Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Punyawat Laohakanjanasiri, DMD

  • General Practice Dentistry
  • Reston, VA
  • NPI 1407414527
  NPD Authorized official

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1275287112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913534",
            "telephone_number": "571-446-3554",
            "fax_number": "571-464-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913468",
            "telephone_number": "571-249-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUT6395 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAOHAKANJANASIRI",
        "authorized_official_first_name": "PUNYAWAT",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "571-446-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prompt Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prompt Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Reston, VA
• Providers in Reston, 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 Apr 29, 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.