Active NPI
Mitesh B Gandhi, D.M.D.
- Dental Anesthesiology
- Danville, VA
National Provider Identifier
1700142148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 0401415008
- Practice address
- 364 Lowes Dr Ste J
Danville, VA 24540-5930 - Phone
- (434) 688-0538
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 0401415008 | VA | Primary |
Addresses
Primary practice location
364 Lowes Dr Ste J
Danville, VA 24540-5930
Mailing address
317 W Jericho Tpke
Huntington, NY 11743-6360
Phone (631) 252-1520
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 |
|---|---|---|---|
| 0401415008 | VA | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1700142148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W JERICHO TPKE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436360",
"telephone_number": "631-252-1520",
"fax_number": "631-425-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 LOWES DR STE J",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245405930",
"telephone_number": "434-688-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "MITESH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "VA",
"license": "0401415008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.