Active NPI
Swapnil Singh Mahendrakar, DMD
- Pediatric Dentistry
- New Haven, CT
National Provider Identifier
1275982647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 34298
- Practice address
- 1 Long Wharf Dr
Ynhh Pediatric Dentistry , Ste 403
New Haven, CT 06511 - Phone
- (203) 688-3000
- NPI assigned
- Jun 7, 2016
- Last updated
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 34298 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1 Long Wharf Dr
Ynhh Pediatric Dentistry , Ste 403
New Haven, CT 06511
Mailing address
1408 Laurel LN
Southlake, TX 76092-3573
Phone (940) 231-0469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275982647 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34298 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale New Haven Hospital | Single Specialty | Past | Accepting new patients |
| Anayansh PLLC | Pediatric Dentistry | Past | Accepting new patients |
| Yale-New Haven Hospital | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Bedford, TX
- NPI 1457906406
-
- Pediatric Dentistry
- New Haven, CT
- NPI 1790170033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1275982647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 LAUREL LN",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923573",
"telephone_number": "940-231-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR",
"address_2": "YNHH PEDIATRIC DENTISTRY , STE 403",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-688-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHENDRAKAR",
"first_name": "SWAPNIL",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "34298",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275982647",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.