NPIMap

Individual provider Active NPI

Revathi Laxminarayan, D.D.S.

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1407903404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044823 Issued in NY
Practice address
45 Ludlow St
Suite 606
Yonkers, NY 10705-1947
Phone
(914) 423-2493
Fax
(914) 423-0263
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044823 NY Primary

Addresses

Primary practice location

45 Ludlow St
Suite 606
Yonkers, NY 10705-1947

Mailing address

45 Ludlow St
Suite 606
Yonkers, NY 10705-1947
Phone (914) 423-2493

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chhagan M Patel Dentist PC General Practice Past Accepting new patients
Ludlow Dental P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407903404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 606",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-423-2493",
            "fax_number": "914-423-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 606",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-423-2493",
            "fax_number": "914-423-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAXMINARAYAN",
        "first_name": "REVATHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.