Active NPI
Pushpak Narayana, MDS
- Endodontics
- Lady Lake, FL
National Provider Identifier
1912257973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN 19959
- Practice address
- 121 Griffin View Drive
Lady Lake, FL 32159 - Phone
- (352) 226-5899
- NPI assigned
- Sep 17, 2012
- Last updated
- Jul 7, 2023
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN 19959 | FL | Primary |
Addresses
Primary practice location
121 Griffin View Drive
Lady Lake, FL 32159
Mailing address
121 Griffin View Drive
Lady Lake, FL 32159
Phone (352) 226-5899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2015 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19959 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F Whitt Jr DDS PA | Endodontics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1912257973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 GRIFFIN VIEW DRIVE",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-226-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 GRIFFIN VIEW DRIVE",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-226-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYANA",
"first_name": "PUSHPAK",
"name_prefix": "Dr.",
"credential": "MDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN 19959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.