Mahesh Yalamanchili, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416855 Issued in VA

Practice address

12701 Galveston CT
Manassas, VA 20112-8674

Phone

(973) 926-7642

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Potomac River Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manassas, VA
  • NPI 1730876764
  NPD
• Dumfries Dental Associates

  • General Practice Dentistry
  • Dumfries, VA
  • NPI 1326395930
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1700449725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 GLENBARR CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393167",
            "telephone_number": "703-593-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 GALVESTON CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128674",
            "telephone_number": "973-926-7642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18043 Dumfries Shopping Plz",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220262356",
            "country_code": "US",
            "telephone_number": "703-221-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "MAHESH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Dixon Wray, LPC
• Autumn Chantell Wright
• Heather-May Ellen Wright, RN
• Leonard Ellis Wryter, PHARMD
• Amanda Wynes
• Gin S Yang, PT, DPT
• Suh H Yang, FNP
• Borarath Max Yann, DDS
• Luis Eduardo Yaqui, D.D.S.
• Mona Yazdani

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.