Individual provider Active NPI

Rohit Vadlamani, MSOB, DMD

  • Dentist
  • Terre Haute, IN
National Provider Identifier
1205529492
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014116A Issued in IN
Practice address
2512 Wabash Ave
Terre Haute, IN 47803-1506
Phone
(812) 803-2340
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014116A IN Primary

Addresses

Primary practice location

2512 Wabash Ave
Terre Haute, IN 47803-1506

Mailing address

1717 Heritage LN E BLDG 6
Terre Haute, IN 47803-1394
Phone (714) 697-7118

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
12014116AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1205529492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HERITAGE LN E BLDG 6",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031394",
            "telephone_number": "714-697-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031506",
            "telephone_number": "812-803-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADLAMANI",
        "first_name": "ROHIT",
        "name_prefix": "Dr.",
        "credential": "MSOB, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014116A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.