NPIMap

Organization Active NPI

Vanguard Dental LLC

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1376830661
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20652 Issued in MA
Legal business name
VANGUARD DENTAL LLC
Practice address
1730 Boston Rd
Springfield, MA 01129-1175
Phone
(413) 543-2575
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Yogita S Kanorwalla, DMDNPI 1730250994
Title
Owner
Phone
(508) 221-5655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN20652 MA Primary

Addresses

Primary practice location

1730 Boston Rd
Springfield, MA 01129-1175

Mailing address

15 Horseshoe LN
Wilbraham, MA 01095-1315
Phone (508) 221-5655

National Provider Directory

National Provider Directory

Locations

1730 Boston Rd
Springfield, MA 01129
Phone (413) 543-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1376830661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HORSESHOE LN",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951315",
            "telephone_number": "508-221-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BOSTON RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291175",
            "telephone_number": "413-543-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "KANORWALLA",
        "authorized_official_first_name": "YOGITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-221-5655",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN20652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.