Organization Active NPI

Surya Dental PSC

Doing business as Parkway Family Dental

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1770219859
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SURYA DENTAL PSC
Doing business as
Parkway Family Dental
Practice address
4701 Southern Pkwy
Louisville, KY 40214-1424
Phone
(502) 366-4121
NPI assigned
Jul 29, 2022
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Dr. Monali Haldankar, DMDNPI 1639732217
Title
Owner
Phone
(502) 471-1321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4701 Southern Pkwy
Louisville, KY 40214-1424

Mailing address

4701 Southern Pkwy
Louisville, KY 40214-1424
Phone (502) 366-4121

Other names 1

  • Parkway Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1770219859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141424",
            "telephone_number": "502-366-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141424",
            "telephone_number": "502-366-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "HALDANKAR",
        "authorized_official_first_name": "MONALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-471-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkway Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.