Priyanka Dutt, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414733 Issued in VA

Practice address

5002 Airport Rd NW # 30
Roanoke, VA 24012-1607

Phone

(888) 344-3613

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Opulent Dental PLLC

  dba Opulent Dental

  • Dental Clinic/Center
  • Christiansburg, VA
  • NPI 1407585714
  NPD Authorized official
• Opulent Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Christiansburg, VA
  • NPI 1518723766
  NPD Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1487067120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD WOODS AVE",
            "address_2": "APT 206",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240161422",
            "telephone_number": "562-595-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 AIRPORT RD NW # 30",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121607",
            "telephone_number": "888-344-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTT",
        "first_name": "PRIYANKA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20684",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Durham
• Allison R Durica, MD
• James Richard Durnan
• Vadim Dushkin
• Jennifer Dutmers, DO
• Taylor Anne Dutton, PA-C
• Jennifer Dye, LPC
• Kevin R Dye, MD
• Rachelle Ann Dykstra, MD
• Dynamic Dental Health Associates of Virginia, PC (Rice Dentistry of Roanoke)

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, 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 Jun 16, 2015; 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.