Vasuki Thevanayagam, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049037 Issued in NY

Practice address

2878 Niagara Falls Blvd
Amherst, NY 14228-2020

Phone

(716) 693-2861

Fax

(716) 693-7028

NPI assigned

Dec 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Choice 1 Dental, P.C.

  • General Practice Dentistry
  • Amherst, NY
  • NPI 1275751802
  NPD (past) Authorized official

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

{
    "created_epoch": "1135382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316924954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KING ANTHONY WAY",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681415",
            "telephone_number": "716-568-1163",
            "fax_number": "716-568-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 NIAGARA FALLS BLVD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282020",
            "telephone_number": "716-693-2861",
            "fax_number": "716-693-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEVANAYAGAM",
        "first_name": "VASUKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02122003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "0015696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Texido, DPT
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• Gomathi Sheila Thiruvannamalai, LMSW
• Michael Daniel Thom, D.C.

• General Practice Dentistry in Amherst, NY
• Providers in Amherst, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.