Individual provider Active NPI

Kalpna Ranadive, DMD, MDS, FAGS, NMD

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1104353325
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13983 Issued in MD
Practice address
10810 Darnestown Rd Ste H2
Gaithersburg, MD 20878-2602
Phone
(301) 738-1074
Fax
(240) 493-8022
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Health & Wellness Coach 171400000X
Naturopath 175F00000X
General Practice Dentistry 1223G0001X 13983 MD Primary

Addresses

Primary practice location

10810 Darnestown Rd Ste H2
Gaithersburg, MD 20878-2602

Mailing address

10810 Darnestown Rd Ste H2
Gaithersburg, MD 20878-2602
Phone (301) 738-1074

Other names 1

  • Dr. Kalpana Madhavan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13983MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vedic Dental Inc General Practice CurrentSince Jul 1, 2022 Accepting new patients

Locations

10810 Darnestown Rd
Ste H2
Gaithersburg, MD 20878
Phone (301) 738-1074

9727 Traville Gateway Dr
Rockville, MD 20850
Phone (301) 738-1074

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1104353325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE H2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782602",
            "telephone_number": "301-738-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE H2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782602",
            "telephone_number": "301-738-1074",
            "fax_number": "240-493-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANADIVE",
        "first_name": "KALPNA",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS, FAGS, NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALPANA",
            "last_name": "MADHAVAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.