Vijaya L Vadakkepullaratt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0418571 Issued in NY

Practice address

14215 Franklin Avenue Suite #1H
Flushing, NY 11355

Phone

(718) 539-1621

Fax

(718) 539-1621

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396890216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 FRANKLIN AVENUE SUITE #1H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-539-1621",
            "fax_number": "718-539-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 FRANKLIN AVENUE SUITE #1H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-539-1621",
            "fax_number": "718-539-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKKEPULLARATT",
        "first_name": "VIJAYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0418571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01101179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "0418571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Svetlana Uvaydova, M.S., CCC-SLP
• Uwell Center Inc.
• Marigold Poinsettia Uy
• William Rabasto Uy, PT
• Ebere Loveline Uzoeto, MD
• Vaidyam Inc
• Astrid Valencia-Hernandez
• Janella Valencia
• Jonathan Eugenio Valencia, M.D.
• Jasmin K Valenti

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• 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.
• 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.