Pratyush Parasana

Primary specialty

DentistTaxonomy code 122300000X

License

DS044736 Issued in PA

Practice address

401 Commerce Dr
Fort Washington, PA 19034-2714

Phone

(267) 841-8710

NPI assigned

Jul 3, 2023

Last updated

Jul 9, 2024By 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

State licenses

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1538846498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "267-841-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASANA",
        "first_name": "PRATYUSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044736",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwasi Owusu
• Kehinde Oyelakim
• Larissa Page
• Elizabeth Pak, CRNP
• Alexandra Pappas, LCSW
• Charlie Park
• Cherline Pascal, LPN
• Andrew Gennaro Passerini
• Krupa K Patel, MD
• Jessica Pell

• Dentist in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.