Organization Active NPI

Opulent Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Christiansburg, VA
National Provider Identifier
1518723766
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OPULENT PEDIATRIC DENTISTRY PLLC
Practice address
105 Akers Farm Rd
Christiansburg, VA 24073-4864
Phone
(540) 394-3300
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Priyanka Dutt, DDSNPI 1487067120
Title
Owner
Phone
(540) 354-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

105 Akers Farm Rd
Christiansburg, VA 24073-4864

Mailing address

5882 Monet Dr
Roanoke, VA 24018-5237
Phone (540) 354-0511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1518723766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 MONET DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185237",
            "telephone_number": "540-354-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734864",
            "telephone_number": "540-394-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-354-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.