Individual provider Active NPI

Meghrajsinh V Atodaria, DDS

  • Dentist
  • Richford, VT
National Provider Identifier
1194246835
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0133901 Issued in VT
Practice address
44 Main St Ste 400
Richford, VT 05476-1141
Phone
(802) 255-5581
Fax
(802) 255-5589
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.031578ILMDDentist
016.0133901VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Richford Health Center Inc Past Accepting new patients
The Richford Health Center Inc. General Practice Past Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.031578 IL
General Practice Dentistry 1223G0001X DEN4587 ME
Dentist 122300000X 016.0133901 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

44 Main St Ste 400
Richford, VT 05476-1141

Mailing address

811 Beaumont Dr Apt 106
Naperville, IL 60540-2012
Phone (909) 312-9957

Other practice location 1

728 Stillwater Ave
Bangor, ME 04401-3615
Phone (909) 312-9957

Other practice location 2

26 Canada St
Swanton, VT 05488-1335
Phone (802) 868-2454

Other practice location 3

2937 Il-178
Suite#2
North Utica, IL 61373
Phone (815) 993-3101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2019.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1194246835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 BEAUMONT DR APT 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605402012",
            "telephone_number": "909-312-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST STE 400",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761141",
            "telephone_number": "802-255-5581",
            "fax_number": "802-255-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Stillwater Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013615",
            "country_code": "US",
            "telephone_number": "909-312-9957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Canada St",
            "address_purpose": "LOCATION",
            "city": "Swanton",
            "state": "VT",
            "postal_code": "054881335",
            "country_code": "US",
            "telephone_number": "802-868-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2937 IL-178",
            "address_2": "Suite#2",
            "address_purpose": "LOCATION",
            "city": "North Utica",
            "state": "IL",
            "postal_code": "61373",
            "country_code": "US",
            "telephone_number": "815-993-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATODARIA",
        "first_name": "MEGHRAJSINH",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031578",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4587",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0133901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.