Active NPI
Nithila Sivakumar
- Dentist
- Arlington, TX
National Provider Identifier
1649631805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35497
- Practice address
- 4407 Rams Horn LN
Arlington, TX 76005-1241 - Phone
- (571) 334-7915
- NPI assigned
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041231 | PA | |
| Dentist | 122300000X | 35497 | TX | Primary |
Addresses
Primary practice location
4407 Rams Horn LN
Arlington, TX 76005-1241
Mailing address
4407 Rams Horn LN
Arlington, TX 76005-1241
Phone (571) 334-7915
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS041231 | PA | MD | Dentist |
| 35497 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1649631805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 RAMS HORN LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760051241",
"telephone_number": "571-334-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 RAMS HORN LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760051241",
"telephone_number": "571-334-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAKUMAR",
"first_name": "NITHILA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2024-08-14",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041231",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.