NPIMap

Organization Active NPI

Surya P. Dhakar, D.D.S., P.C.

  • Dentist
  • Glen Allen, VA
National Provider Identifier
1669650750
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410078 Issued in VA
Legal business name
SURYA P. DHAKAR, D.D.S., P.C.
Practice address
4440 Springfield Rd Ste 101
Glen Allen, VA 23060-3410
Phone
(804) 217-9820
Fax
(804) 217-9822
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Surya P. Dhakar, D.D.S.
Title
President
Phone
(804) 217-9820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410078 VA Primary

Addresses

Primary practice location

4440 Springfield Rd Ste 101
Glen Allen, VA 23060-3410

Mailing address

4440 Springfield Rd Ste 101
Glen Allen, VA 23060-3410
Phone (804) 217-9820

Other identifiers 2

IdentifierTypeStateIssuer
817248OtherVAOTHER
14534OtherVAOTHER

National Provider Directory

National Provider Directory
Tax ID family
Surya P Dhakar DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1669650750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD STE 101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-217-9820",
            "fax_number": "804-217-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD STE 101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-217-9820",
            "fax_number": "804-217-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA P. DHAKAR, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DHAKAR",
        "authorized_official_first_name": "SURYA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-217-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "817248",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "14534",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.