Active NPI
Rashmi Vasudeva, DMD
- General Practice Dentistry
- Hanover, MA
National Provider Identifier
1063684595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN20941
- Practice address
- 225 Hanover St
Hanover, MA 02339 - Phone
- (781) 826-2961
- NPI assigned
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20941 | MA | Primary |
Addresses
Primary practice location
225 Hanover St
Hanover, MA 02339
Mailing address
225 Hanover St
Hanover, MA 02339
Phone (781) 826-2961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203670 | Other | MA | MASSHEALTH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161114001558 | MA | Order and Referring Only - Other (Non-Physician) | 7416236559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Hanover, MA
- NPI 1679776652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1063684595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HANOVER ST",
"city": "HANOVER",
"state": "MA",
"postal_code": "02339",
"telephone_number": "781-826-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HANOVER ST",
"city": "HANOVER",
"state": "MA",
"postal_code": "02339",
"telephone_number": "781-826-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASUDEVA",
"first_name": "RASHMI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN20941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH ID",
"identifier": "0203670",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.