Active NPI
Vinita Atul Kalanuria, DDS
- General Practice Dentistry
- Fairless Hills, PA
National Provider Identifier
1174779029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS037629
- Practice address
- 111 Hidden Forest CT
Fairless Hills, PA 19030-4107 - Phone
- (484) 326-6332
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 | DS037629 | PA | Primary |
Addresses
Primary practice location
111 Hidden Forest CT
Fairless Hills, PA 19030-4107
Mailing address
111 Hidden Forest CT
Fairless Hills, PA 19030-4107
Phone (484) 326-6332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 985702688 | Other | PA | TAX IDENTIFICATION NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS037629 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1174779029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HIDDEN FOREST CT",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "190304107",
"telephone_number": "484-326-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HIDDEN FOREST CT",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "190304107",
"telephone_number": "484-326-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALANURIA",
"first_name": "VINITA",
"middle_name": "ATUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS037629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "985702688",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairless Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.