Niyathi Srinivasan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS043156 Issued in PA

Practice address

300 Willowbrook LN Ste 300
West Chester, PA 19382-5594

Phone

(732) 470-4833

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1952074841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 WILLIAMS RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011908",
            "telephone_number": "732-470-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOWBROOK LN STE 300",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825594",
            "telephone_number": "732-470-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 1st Ave # Sc1-081",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166401",
            "country_code": "US",
            "telephone_number": "646-501-4237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "NIYATHI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Springer, COTA
• George Nicholas Spyropoulos, D.O.
• Maria Evagelia Spyropoulos, RPH
• Melanie Squadrito
• Karen M Squire, MD
• Anna St. Onge
• Maegan Staats, LPC
• Daniel Stahlberger, M. ED., LPC
• Laura Ellen Stahlman
• Denise S Staiano-Keba, CRNA

• Pediatric Dentistry in West Chester, PA
• Providers in West Chester, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.