Individual provider Active NPI

Sonal Virwani

  • Dentist
  • Lynn, MA
National Provider Identifier
1497208961
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857370 Issued in MA
Practice address
270 Union St
Dr.Dental of Lynn
Lynn, MA 01901-1348
Phone
(781) 691-3010
Fax
(781) 691-3033
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857370 MA Primary

Addresses

Primary practice location

270 Union St
Dr.Dental of Lynn
Lynn, MA 01901-1348

Mailing address

270 Union St
Dr.Dental of Lynn
Lynn, MA 01901-1348
Phone (781) 691-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160930001679 MA Order and Referring Only - DentistPractitioner - Dentist 7214224427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857370MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1497208961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 UNION ST",
            "address_2": "DR.DENTAL OF LYNN",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011348",
            "telephone_number": "781-691-3010",
            "fax_number": "781-691-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 UNION ST",
            "address_2": "DR.DENTAL OF LYNN",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011348",
            "telephone_number": "781-691-3010",
            "fax_number": "781-691-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRWANI",
        "first_name": "SONAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.