Preeti K Sastry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413601 Issued in VA

Practice address

102 West Broaddus Avenue
Suite 200
Bowling Green, VA 22427

Phone

(804) 632-1030

Fax

(804) 632-1033

NPI assigned

Aug 8, 2012

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1639426760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WEST BROADDUS AVENUE",
            "address_2": "SUITE 200",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-632-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST BROADDUS AVENUE",
            "address_2": "SUITE 200",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-632-1030",
            "fax_number": "804-632-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "PREETI",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlin Moyer, MA CCC-SLP
• Remuda Ranch Center for Eating Disorders East, Inc. (Remuda Life Program)
• Richard D Hyltoir DDS PC
• Elizabeth Rivlin, FNP
• RX LLC (Bowling Green Pharmacy)
• Jennifer Schermerhorn
• Carole L Spicer, PA
• Virginia Delores Tarrer
• Tabitha Meagan Taylor
• Tashana Marie Taylor, L-CSFA

• General Practice Dentistry in Bowling Green, VA
• Providers in Bowling Green, 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 Sep 2, 2016; 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.