Individual provider Active NPI

George Plathottam Varkey, DMD

  • Dentist
  • Colonial Heights, VA
National Provider Identifier
1295846269
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411075 Issued in VA
Practice address
723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628
Phone
(804) 270-9989
Fax
(804) 270-9296
NPI assigned
Aug 31, 2006
Reactivated
Jan 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411075 VA Primary

Addresses

Primary practice location

723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628

Mailing address

723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628
Phone (804) 270-9989

Other practice location 1

9840 W Broad St Ste B
Glen Allen, VA 23060-4199
Phone (804) 270-9989

Other identifiers 1

IdentifierTypeStateIssuer
9179218MedicaidVA

Other names 1

  • Dr. George Varkey Plathottam Former name

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
0401411075VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
United Smiles Glen Allen PC Dentist CurrentSince Nov 15, 2020 Accepting new patients
US Meadowdale PC Current Accepting new patients
George Plathottam DMD PC Past Accepting new patients
M H Ahmed DMD LLC Dentist Past Accepting new patients

Locations

723 Southpark Blvd
Ste F
Colonial Heights, VA 23834
Phone (804) 270-9989

5332 Wyndham Forest Dr
Glen Allen, VA 23059
Phone (804) 504-0012

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1295846269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SOUTHPARK BLVD STE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343628",
            "telephone_number": "804-270-9989",
            "fax_number": "804-270-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SOUTHPARK BLVD STE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343628",
            "telephone_number": "804-270-9989",
            "fax_number": "804-270-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9840 W Broad St Ste B",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230604199",
            "country_code": "US",
            "telephone_number": "804-270-9989",
            "fax_number": "804-270-9296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARKEY",
        "first_name": "GEORGE",
        "middle_name": "PLATHOTTAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-11",
        "deactivation_date": "2020-12-11",
        "reactivation_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179218",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "PLATHOTTAM",
            "middle_name": "VARKEY",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.