Vinayak Pundlik Patil, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412476 Issued in VA

Practice address

9547A Fairfax Blvd
Fairfax, VA 22031-4740

Phone

(703) 359-2879

NPI assigned

Jul 21, 2009

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

Enrolled in VA

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

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.

• Neibauer Dental Care

  • Dentist
  • Fredericksburg, VA
  • NPI 1275790651
  NPD (past)
• Neibauer Dental Care, PC

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1093082620
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1528298908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W LEXINGTON ST",
            "address_2": "APT# 42 E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011555",
            "telephone_number": "410-585-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9547A FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314740",
            "telephone_number": "703-359-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "VINAYAK",
        "middle_name": "PUNDLIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanvi Patel
• Vishwas C Patel, DO
• Pathway Homes, Inc.
• Patient First Richmond Medical Group
• Patient First Richmond Medical Group PLLC
• Paula Patrick
• Patriot Chiropractic Center P.L.L.C.
• Asha Jamila Patton Smith, MD
• Annabelle Grace Patton, M.A.
• Valerie Patton, LPC

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 21, 2009; 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.