Selvi Mahalakshmi Das Purkayastha, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.007310-C1 Issued in AL

Practice address

3439 McGehee Rd Ste 22B
Montgomery, AL 36111-3392

Phone

(334) 284-0222

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1366134744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 132ND ST APT 2U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373218",
            "telephone_number": "630-664-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 MCGEHEE RD STE 22B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113392",
            "telephone_number": "334-284-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS PURKAYASTHA",
        "first_name": "SELVI",
        "middle_name": "MAHALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007310-C1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.007310-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catrece Dantzler
• Aviannah Nakia Danzy
• Jean Alfred Darbouze, MD
• Christine Darwin
• Daryl K. Hamblin, PH.D., PC
• Patrick David Daughtry, CRNA
• Jaival A Dave, MD
• David D Hall DO PC
• David D. Harwood, M.D., P.C.
• David J.Brand DMD,PC

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.