Individual provider Active NPI

Vijayalakshmi Canakalavenkata, DMD

  • General Practice Dentistry
  • Providence, RI
National Provider Identifier
1871500611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN02932 Issued in RI
Practice address
66 Kennedy PLZ
Providence, RI 02903-2004
Phone
(401) 454-3000
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN02932 RI Primary

Addresses

Primary practice location

66 Kennedy PLZ
Providence, RI 02903-2004

Mailing address

860 Harrison Ave
Apt 1012
Boston, MA 02118-4002
Phone (617) 504-0406

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN02932RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deepak Saluja, DMD Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871500611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HARRISON AVE",
            "address_2": "APT 1012",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184002",
            "telephone_number": "617-504-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 KENNEDY PLZ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032004",
            "telephone_number": "401-454-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAKALAVENKATA",
        "first_name": "VIJAYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.