Individual provider Active NPI

Nihar A Vasavada, DDS

  • General Practice Dentistry
  • Parma Heights, OH
National Provider Identifier
1376632141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021900 Issued in OH
Practice address
7057 W 130 St
Parma Heights, OH 44130
Phone
(440) 888-9755
Fax
(440) 888-8763
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30021900 OH Primary

Addresses

Primary practice location

7057 W 130 St
Parma Heights, OH 44130

Mailing address

7057 W 130 St
Parma Heights, OH 44130
Phone (440) 888-9755

Other identifiers 1

IdentifierTypeStateIssuer
2629525MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20251117000900 OH Order and Referring Only - DentistPractitioner - Dentist 3476044694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30021900OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376632141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 W 130 ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-888-9755",
            "fax_number": "440-888-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 W 130 ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-888-9755",
            "fax_number": "440-888-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAVADA",
        "first_name": "NIHAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2629525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.