DR. POORNIMA MYSORE VISHWANATH DMD
NPI 1376215137
Dentist in Waltham, MA

Q: What is Poornima Mysore Vishwanath's NPI number?

The NPI number for Poornima Mysore Vishwanath is 1376215137. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Q: What is Poornima Mysore Vishwanath's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 30, 2021

314 MOODY ST, WALTHAM, MA 02453(781) 398-0000 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Poornima Mysore Vishwanath Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POORNIMA MYSORE VISHWANATH DMD (NPI 1376215137) is an individual dentist in Waltham, Massachusetts, licensed in Massachusetts (DN1859211) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1376215137

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. POORNIMA MYSORE VISHWANATHCredential: DMD

Location Address314 MOODY STWaltham, MA 02453-5202

Mailing Address9 Fifer LnLexington, MA 02420-1231 · (512) 674-5336

Phone(781) 398-0000

Sole ProprietorNo

Enumeration DateSeptember 30, 2021

NPPES CertifiedSeptember 30, 2021

✔ NPI 1376215137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1859211

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

314 MOODY ST, Waltham, MA 02453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUCHIEKA VIJ DMD

Dentist

314 MOODY ST
WALTHAM, MA 02453

Middlesex County (857) 284-2329

DR. TRIPTI GUPTA DMD

Dentist (General Practice)

314 MOODY ST
WALTHAM, MA 02453

Middlesex County (781) 398-0000

MY DENTAL LLC

Clinic/Center (Dental)

314 MOODY ST, SUITE B
WALTHAM, MA 02453

Middlesex County (740) 215-8549

DR. NEHA SOOD

Dentist (General Practice)

314 MOODY ST
WALTHAM, MA 02453

Middlesex County (781) 398-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poornima Mysore Vishwanath's NPI number?

The NPI number for Poornima Mysore Vishwanath is 1376215137. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Poornima Mysore Vishwanath located?

Poornima Mysore Vishwanath practices at 314 Moody St, Waltham, MA 02453. The listed phone number is (781) 398-0000.

What is Poornima Mysore Vishwanath's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Poornima Mysore Vishwanath accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Poornima Mysore Vishwanath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poornima Mysore Vishwanath was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.