RATHNASIRI K. MUDIYANSELAGE D.D.S.
NPI 1750611125
Dentist - General Practice in San Diego, CA

Q: What is Rathnasiri Mudiyanselage's NPI number?

The NPI number for Rathnasiri Mudiyanselage is 1750611125. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Q: What is Rathnasiri Mudiyanselage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 07, 2010

3736 MYKONOS LN UNIT 128, SAN DIEGO, CA 92130(626) 698-1152 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rathnasiri K. Mudiyanselage D.d.s. NPPES

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

RATHNASIRI K. MUDIYANSELAGE D.D.S. (NPI 1750611125) is an individual general practice provider in San Diego, California, licensed in California (58912) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1750611125

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRATHNASIRI K. MUDIYANSELAGECredential: D.D.S.

Location Address3736 MYKONOS LN UNIT 128San Diego, CA 92130-5545

Mailing Address3736 Mykonos Ln Unit 128San Diego, CA 92130-5545 · (626) 698-1152

Phone(626) 698-1152

Sole ProprietorNo

Enumeration DateJanuary 7, 2010

✔ NPI 1750611125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 58912

Definition

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.

3736 MYKONOS LN UNIT 128, San Diego, CA 92130

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Accepted Insurance

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

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 Rathnasiri Mudiyanselage's NPI number?

The NPI number for Rathnasiri Mudiyanselage is 1750611125. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Where is Rathnasiri Mudiyanselage located?

Rathnasiri Mudiyanselage practices at 3736 Mykonos Ln Unit 128, San Diego, CA 92130. The listed phone number is (626) 698-1152.

What is Rathnasiri Mudiyanselage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Rathnasiri Mudiyanselage accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Rathnasiri Mudiyanselage 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 Rathnasiri Mudiyanselage was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.