Active NPI
Victoria Ann Soungpradith, DDS
- Dentist
- Columbus, OH
National Provider Identifier
1386864577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30022158
- Practice address
- 6481 Nicholas Dr
Columbus, OH 43235-5204 - Phone
- (614) 799-9500
- Fax
- (614) 799-9511
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022158 | OH | Primary |
Addresses
Primary practice location
6481 Nicholas Dr
Columbus, OH 43235-5204
Mailing address
6646 Sring Run Drive
Westerville, OH 43082
Phone (614) 882-1391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30022158 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linworth Family Dental, DRS. Kowalczyk, Glasgow, & Soungpradith, Inc. | 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.
-
- General Practice Dentistry
- Columbus, OH
- NPI 1427368661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1386864577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6646 SRING RUN DRIVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "43082",
"telephone_number": "614-882-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6481 NICHOLAS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432355204",
"telephone_number": "614-799-9500",
"fax_number": "614-799-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUNGPRADITH",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30022158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.