Punyawat Laohakanjanasiri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416923 Issued in VA

Practice address

12005 Sunrise Valley Dr Ste 130
Reston, VA 20191-3468

Phone

(571) 446-3554

Fax

(571) 464-0198

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Put6395 PLLC

  dba Prompt Dentistry

  • General Practice Dentistry
  • Reston, VA
  • NPI 1275287112
  NPD Authorized official
• Kids & Family Dental, P.C.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1689933582
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1407414527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913468",
            "telephone_number": "571-446-3554",
            "fax_number": "571-464-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 SUNRISE VALLEY DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913468",
            "telephone_number": "571-446-3554",
            "fax_number": "571-464-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAOHAKANJANASIRI",
        "first_name": "PUNYAWAT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilen V. Lakhani, M.D.
• Steven Lam, PHARMD
• Catherine M Lancaster, DNP, FNP-BC
• Lanctot and Johnson Dental Associates PC
• Bernadette M Landolf, PH.D.
• Laura J Larios, PA
• Erik A Larsen, PA
• Christina M Larson, PH.D.
• Steven Douglas Larson, M.D.
• Todd Steven Larson, M.D.

• General Practice Dentistry in Reston, VA
• Providers in Reston, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.