Vivaan Dental Systems

Primary specialty

DentistTaxonomy code 122300000X

License

D12203 Issued in MN

Legal business name

VIVAAN DENTAL SYSTEMS

Practice address

8511 Jefferson LN N
Brooklyn Park, MN 55445-2121

Phone

(763) 205-0526

NPI assigned

Sep 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anupam Mukundrai Gatecha, BDS

Title

Dentist

Phone

(763) 205-0526

Specialties & licenses 1

Addresses

Other names 1

• Reflections Dental Care Doing business as

Locations

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1053711713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 JEFFERSON LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452121",
            "telephone_number": "763-205-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 JEFFERSON LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452121",
            "telephone_number": "763-205-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAAN DENTAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "GATECHA",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_middle_name": "MUKUNDRAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-205-0526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.