Individual provider Active NPI

Rajiv Kolandaivelu, D.M.D

  • General Practice Dentistry
  • Hatfield, PA
National Provider Identifier
1407083876
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037884 Issued in PA
Practice address
1565 Bethlehem Pike
Hatfield, PA 19440-1301
Phone
(484) 727-8044
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037884 PA Primary
Dentist 122300000X DS037884 PA

Addresses

Primary practice location

1565 Bethlehem Pike
Hatfield, PA 19440-1301

Mailing address

56 Meetinghouse Rd
Doylestown, PA 18901-2342
Phone (817) 271-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240102002835 PA Order and Referring Only - DentistPractitioner - Dentist 4981994373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037884PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Exchange of Hatfield PastSince Oct 5, 2025 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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1407083876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MEETINGHOUSE RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012342",
            "telephone_number": "817-271-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BETHLEHEM PIKE",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401301",
            "telephone_number": "484-727-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANDAIVELU",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037884",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, PA

Sources for this page

Verify at the official NPI Registry.