Individual provider Active NPI

Anisha Varkey Paul, DMD

  • Dentist
  • Reno, NV
National Provider Identifier
1346674116
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6470 Issued in NV
Practice address
901 W 4TH St
Reno, NV 89503-5129
Phone
(775) 386-2246
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6470 NV Primary

Addresses

Primary practice location

901 W 4TH St
Reno, NV 89503-5129

Mailing address

901 W 4TH St
Reno, NV 89503-5129
Phone (775) 386-2246

Other practice location 1

59 Damonte Ranch Pkwy
Ste F ( Reno Modern Dentistry and Orthodontics)
Reno, NV 89521-1907
Phone (775) 851-2204

Other practice location 2

59 Damonte Ranch Pkwy
Ste F ( Reno Modern Dentistry and Orthodontics)
Reno, NV 89521-1907
Phone (775) 851-2204

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Callaway-Nelson Reno Modern Dentistry, PC Dentist Past Accepting new patients

Organizations & group practices 1

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346674116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035129",
            "telephone_number": "775-386-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035129",
            "telephone_number": "775-386-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Damonte Ranch Pkwy",
            "address_2": "STE F ( RENO MODERN DENTISTRY AND ORTHODONTICS)",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895211907",
            "country_code": "US",
            "telephone_number": "775-851-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Damonte Ranch Pkwy",
            "address_2": "STE F ( RENO MODERN DENTISTRY AND ORTHODONTICS)",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895211907",
            "country_code": "US",
            "telephone_number": "775-851-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ANISHA",
        "middle_name": "VARKEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.