Active NPI
Anita N Vasvani, DMD
- Dentist
- Pawtucket, RI
National Provider Identifier
1356359293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 02585
- Practice address
- 140 Newport Ave
Pawtucket, RI 02861 - Phone
- (401) 722-6064
- Fax
- (401) 724-5633
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 02585 | RI | Primary |
Addresses
Primary practice location
140 Newport Ave
Pawtucket, RI 02861
Mailing address
140 Newport Ave
Pawtucket, RI 02861
Phone (401) 722-6064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AV23961 | Medicaid | RI |
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 |
|---|---|---|---|
| 02585 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356359293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NEWPORT AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02861",
"telephone_number": "401-722-6064",
"fax_number": "401-724-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NEWPORT AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02861",
"telephone_number": "401-722-6064",
"fax_number": "401-724-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASVANI",
"first_name": "ANITA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "02585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AV23961",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.