Sushant Mahajan, D.M.D., M.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401413580 Issued in VA

Practice address

691 Laurel St
#200
Culpeper, VA 22701-3930

Phone

(678) 910-0823

NPI assigned

Jul 12, 2010

Last updated

Jun 5, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1538471131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 LAUREL ST",
            "address_2": "#200",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013930",
            "telephone_number": "678-910-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 LAUREL ST",
            "address_2": "#200",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013930",
            "telephone_number": "678-910-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "SUSHANT",
        "credential": "D.M.D., M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401413580",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "DEN1001127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loy Dental Care PC
• Anne C Luckinbill, LPC
• Elizabeth M Ludwig, MD
• Ethel Lukong
• Madison Pediatric Therapy
• Ali Mahjoub, M.D.
• Maria Emilia Malcolm, PA-C
• Donna Marie Mallory, AU.D.
• James Mapp III
• Isabella Masi

• Endodontics in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.