Individual provider Active NPI

Saidheeraj Parvataneni, DMD

  • Dentist
  • Ashburn, VA
National Provider Identifier
1619872710
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401420253 Issued in VA
Practice address
233362 Longollen Woods Terrace
Ashburn, VA 20148
Phone
(571) 385-5595
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401420253 VA Primary

Addresses

Primary practice location

233362 Longollen Woods Terrace
Ashburn, VA 20148

Mailing address

233362 Longollen Woods Terrace
Ashburn, VA 20148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1619872710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233362 LONGOLLEN WOODS TERRACE",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233362 LONGOLLEN WOODS TERRACE",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20148",
            "telephone_number": "571-385-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVATANENI",
        "first_name": "SAIDHEERAJ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401420253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.