Kanika Vaswani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

37164 Issued in TX

Practice address

651 Squire Rd
Revere, MA 02151-1866

Phone

(781) 289-3331

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1275042723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511866",
            "telephone_number": "781-289-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511866",
            "telephone_number": "781-289-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASWANI",
        "first_name": "KANIKA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857757",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS DENTAL BOARDS",
            "identifier": "DN1857757",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Trang
• James R Troisi Jr., RPH
• Tufts Medical Center
• Kuldip Kumar Vaid, MD
• Everett John Vanderpool, MD
• Juan A Velasquez, LMT
• Amanda Velez
• Ellen Tighe Ventola, MS,PT,OCS
• Genesis Vergara, PHD
• Vero Health Xvii, LLC (Vero Health & Rehab of Revere)

• Dentist in Revere, MA
• Providers in Revere, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.