Active NPI
Dushyanthan Nithiyananthasothy, DDS
- Dentist
- Lexington, VA
National Provider Identifier
1730814385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401418045
- Practice address
- 25 Northridge LN
Lexington, VA 24450-3399 - Phone
- (540) 464-8700
- NPI assigned
- Jul 19, 2022
- Last updated
- Jul 19, 2022
- Sex
- Male
- 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 | 0401418045 | VA | Primary |
Addresses
Primary practice location
25 Northridge LN
Lexington, VA 24450-3399
Mailing address
95 Willow Springs Rd Apt A21
Lexington, VA 24450-2902
Phone (347) 493-6494
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 |
|---|---|---|---|
| 0401418045 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1730814385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WILLOW SPRINGS RD APT A21",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502902",
"telephone_number": "347-493-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NORTHRIDGE LN",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244503399",
"telephone_number": "540-464-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITHIYANANTHASOTHY",
"first_name": "DUSHYANTHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.