Individual provider Active NPI

Vaidehi Trivedi, DDS

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1104434463
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61665 Issued in KS
Practice address
10818 Parallel Pkwy # KS
Kansas City, KS 66109-3649
Phone
(913) 299-8860
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61665 KS Primary

Addresses

Primary practice location

10818 Parallel Pkwy # KS
Kansas City, KS 66109-3649

Mailing address

7233 Cottonwood Dr
Shawnee, KS 66216-3785
Phone (913) 963-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL shawnee

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020000519 KS Order and Referring Only - DentistPractitioner - Dentist 9032539762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61665KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Legends Dental Group, P.a. General Practice PastSince Aug 2, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1104434463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 COTTONWOOD DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163785",
            "telephone_number": "913-963-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 PARALLEL PKWY # KS",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093649",
            "telephone_number": "913-299-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "VAIDEHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shawnee",
            "affiliation": "N",
            "endpointDescription": "DDS",
            "address_1": "10818 Parallel Pkwy # Ks",
            "city": "Kansas City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "661093649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.