Ashish Nayak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418142 Issued in VA

Practice address

392 Garrisonville Rd Ste 205
Stafford, VA 22554-1576

Phone

(540) 659-6816

NPI assigned

Jun 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Splendid Smiles PLLC

  • General Practice Dentistry
  • Warrenton, VA
  • NPI 1821849498
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1508395849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "540-659-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "540-659-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Williamson County Pkwy",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "62959",
            "country_code": "US",
            "telephone_number": "618-519-9200",
            "fax_number": "618-997-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "ASHISH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418142",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012753A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370966854022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Consortium for Mentla Health Counselors (Ncmhc)
• National Vision, Inc.
• Naturally Chiropractic LLC
• Kelsey Vanessa Navarro
• Elizabeth Yari Nawah
• Nadine Mulashi Ndayi
• Bridget Atabongnkeng Ndeloh
• Jordona Ndon
• Neibauer Dental Care, P.C.
• Neibauer Dental Care, PC

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, 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 Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.