DR. SRIDEVI VIJAYASEKARAN (NPI# 1912116567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912116567 |
| Entity Type | Individual |
| Full Name | DR. SRIDEVI VIJAYASEKARAN |
| Credential | DMD |
| Practice Address |
1401 Marvin Rd Ne Ste 302 Lacey WA 98516-5710 |
| Mailing Address |
2418 Cooper Crest Dr Nw Olympia WA 98502-4038 |
| Practice Telephone | 3604598348 |
| Practice Fax Number | 3604592919 |
| Mailing Telephone | 2068495739 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00009476 | WA | Dental Providers |
| Street Address |
1401 MARVIN RD NE STE 302 |
| City | LACEY |
| State | WA |
| Zip Code | 98516-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477447 | John Daniel Skipper Jr. | Dentist | 5720 Ruddell Rd Se Ste A&b, Lacey, WA 98503-6401 | 2017-10-05 |
| 1992183339 | Washington Dental Corporation, PC | Dentist | 5122 Yelm Hwy Se, Suite E, Lacey, WA 98503-5034 | 2015-05-18 |
| 1982026407 | Smiles 4 Kids Lacey, P.C. | Dentist | 909 Sleater Kinney Rd Se, Suite 3, Lacey, WA 98503-1103 | 2014-01-17 |
| 1437494036 | Peterson and Cammack, D.d.s., P.l.l.c | Dentist | 5201 Corporate Center Ct Se, Lacey, WA 98503-5901 | 2012-12-07 |
| 1609194059 | Cascade Family Dental Care | Dentist | 8765 Tallon Ln Ne, Suite I, Lacey, WA 98516-6654 | 2010-05-10 |
| 1679635056 | Venn R Peterson | Dentist | 5024 Lacey Blvd Se, Lacey, WA 98503-5729 | 2006-12-14 |
| 1134298805 | Herbert E Todd | Dentist | 4445 Lacey Blvd Se, Lacey, WA 98503-5716 | 2006-11-07 |
| 1992880504 | Thomas J Herrick | Dentist | 5330 Corporate Center Loop Se, Suite A, Lacey, WA 98503-5558 | 2006-10-25 |
| 1497837710 | Jerry R Giddings | Dentist | 703 Sleater-kinney Rd, Suite H, Lacey, WA 98503 | 2006-10-19 |
| 1679667760 | Raymond Clyde Winters | Dentist | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2006-10-03 |
| Find all providers in LACEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.