Individual provider Active NPI

Lakshmi Nathi, D.D.S

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1497844807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI021792 Issued in NJ
Practice address
3700 Kennedy Blvd
Union City, NJ 07087-2529
Phone
(201) 866-3737
Fax
(201) 866-6266
NPI assigned
Oct 12, 2006
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 DI021792 NJ Primary

Addresses

Primary practice location

3700 Kennedy Blvd
Union City, NJ 07087-2529

Mailing address

2 Lyle Farm LN
Millstone Township, NJ 07726-9304
Phone (732) 446-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150602002567 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961723952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI021792NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Dental Care General Practice PastSince Nov 29, 2020 Accepting new patients
Children'S Dental Center, PA 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497844807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LYLE FARM LN",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "077269304",
            "telephone_number": "732-446-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872529",
            "telephone_number": "201-866-3737",
            "fax_number": "201-866-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHI",
        "first_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.