Rajesh Balakrishnan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410461 Issued in VA

Practice address

19415 Deerfield Ave
BLDG 1 Suite 207
Lansdowne, VA 20176-8452

Phone

(571) 223-2434

Fax

(571) 223-2919

NPI assigned

Apr 10, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508989799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "BLDG 1 SUITE 207",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "571-223-2434",
            "fax_number": "571-223-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "BLDG 1 SUITE 207",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "571-223-2434",
            "fax_number": "571-223-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "RAJESH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristen Lundberg Birkland, LMFT
• Cierra Lasha' Blanding

• General Practice Dentistry in Lansdowne, VA
• Providers in Lansdowne, 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 Jul 9, 2007; 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.