Individual provider Active NPI

Rohini Perumal Naidu Nagaiah, DDS

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1841587664
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL11146 Issued in MA
Practice address
2407 Columbia Pike
Suite 280
Arlington, VA 22204-4469
Phone
(571) 312-4111
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DL11146 MA Primary
General Practice Dentistry 1223G0001X 0401413964 VA

Addresses

Primary practice location

2407 Columbia Pike
Suite 280
Arlington, VA 22204-4469

Mailing address

2407 Columbia Pike
Suite 280
Arlington, VA 22204-4469
Phone (571) 312-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217002243 DC Order and Referring Only - DentistPractitioner - Dentist 6608111836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL11146MAMDGeneral Practice Dentistry
0401413964VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1841587664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COLUMBIA PIKE",
            "address_2": "SUITE 280",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044469",
            "telephone_number": "571-312-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 COLUMBIA PIKE",
            "address_2": "SUITE 280",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044469",
            "telephone_number": "571-312-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUMAL NAIDU NAGAIAH",
        "first_name": "ROHINI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL11146",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.