Individual provider Active NPI

Prakash Thuraisamy, DDS

  • Dentist
  • Elmira, NY
National Provider Identifier
1649358771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052745 Issued in NY
Practice address
1007 Broadway
Elmira, NY 14904
Phone
(607) 734-2045
Fax
(607) 734-6103
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052745 NY Primary

Addresses

Primary practice location

1007 Broadway
Elmira, NY 14904

Mailing address

1007 Broadway
Elmira, NY 14904
Phone (607) 734-2045

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
052745NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B Dunn DDS PC Dentist Past Accepting new patients
Chemung Family Dental PLLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649358771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14904",
            "telephone_number": "607-734-2045",
            "fax_number": "607-734-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14904",
            "telephone_number": "607-734-2045",
            "fax_number": "607-734-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURAISAMY",
        "first_name": "PRAKASH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.