Active NPI
Rohini Perumal Naidu Nagaiah, DDS
- General Practice Dentistry
- Arlington, VA
National Provider Identifier
1841587664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DL11146
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181217002243 | DC | Order and Referring Only - Dentist | 6608111836 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL11146 | MA | MD | General Practice Dentistry |
| 0401413964 | VA | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.