Active NPI
Priyanka Srivastava, DDS
- Dentist
- Pittston, PA
National Provider Identifier
1669808259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039997
- Practice address
- 1073 Oak St
Pittston, PA 18640-3716 - Phone
- (570) 655-4141
- NPI assigned
- Sep 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039997 | PA | Primary |
Addresses
Primary practice location
1073 Oak St
Pittston, PA 18640-3716
Mailing address
1008 Tiverton Rd
Mechanicsburg, PA 17050-9159
Phone (717) 215-3652
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 |
|---|---|---|---|
| DS039997 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1669808259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 TIVERTON RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509159",
"telephone_number": "717-215-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 OAK ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403716",
"telephone_number": "570-655-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIVASTAVA",
"first_name": "PRIYANKA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.