Active NPI
Ajay Kumar Nathani
- Dentist
- Winston Salem, NC
National Provider Identifier
1467006452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11526
- Practice address
- 336 E Hanes Mill Rd
Winston Salem, NC 27105-9135 - Phone
- (281) 254-5798
- NPI assigned
- Jul 28, 2019
- Sex
- Male
- 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 | 11526 | NC | Primary |
Addresses
Primary practice location
336 E Hanes Mill Rd
Winston Salem, NC 27105-9135
Mailing address
7473 Hedera CT
Columbus, OH 43235-4227
Phone (281) 254-5798
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 |
|---|---|---|---|
| 11526 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1467006452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7473 HEDERA CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354227",
"telephone_number": "281-254-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 E HANES MILL RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271059135",
"telephone_number": "281-254-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANI",
"first_name": "AJAY KUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-28",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.