Vrushali Fernandes, DMD, BDS, CAGS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857364 Issued in MA

Practice address

130 Water St
Fitchburg, MA 01420

Phone

(978) 342-8500

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Vrushali Mirajkar Former name

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1386909059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WATER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205478",
            "telephone_number": "978-342-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WATER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-342-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Park Street",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027030270",
            "country_code": "US",
            "telephone_number": "774-328-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "VRUSHALI",
        "name_prefix": "Dr.",
        "credential": "DMD, BDS, CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857364",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VRUSHALI",
            "last_name": "MIRAJKAR",
            "prefix": "DR.",
            "credential": "DMD, BDS, CAGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron M Fay, M.D.
• Olivia Fenty
• Wendy P Fenty, BA PHYCHOLOGY
• Kathleen Ferguson, M.S. BCBA
• Sarah Cavanaugh Ferguson, PSY.D.
• Maricarmen Fernandez I
• Angela J Ferreira, LMHC
• Nancy L Fillers, RD, LDN
• Kali Finn, PHARMD
• Kelly Finn, OTR/L

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.