Nisha Perampalli Nayak, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64925 Issued in CA

Practice address

3906 Stoneridge Dr
Apt 4
Pleasanton, CA 94588-8242

Phone

(201) 906-2095

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1346626777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 STONERIDGE DR",
            "address_2": "APT 4",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888242",
            "telephone_number": "201-906-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 STONERIDGE DR",
            "address_2": "APT 4",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888242",
            "telephone_number": "201-906-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "NISHA",
        "middle_name": "PERAMPALLI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sony Ruth Nathaniel, MA, LMFT
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• National Vision, Inc.
• Clarissa Navarro, BA
• Navin Mallavaram, M.D., Inc.
• Gerald Roy Nazareno, MD
• Sierra Lashawn Nazel
• Archana Neelmegh
• Lauren Ashley Nelson, M.D.
• Ruku Nepal

• General Practice Dentistry in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.