Individual provider Active NPI

Vineet Awasthy, DDS

  • Dentist
  • Lowell, MA
National Provider Identifier
1447595327
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 1856175 Issued in MA
Practice address
1673 Middlesex St
Lowell, MA 01851-1103
Phone
(978) 455-3775
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 1856175 MA Primary

Addresses

Primary practice location

1673 Middlesex St
Lowell, MA 01851-1103

Mailing address

1673 Middlesex St
Lowell, MA 01851-1103
Phone (978) 455-3775

Other practice location 1

430 W Erie St
c/o Juliette Boyce, Ste 200
Chicago, IL 60654-6914
Phone (312) 274-4520

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150321000357 MA Order and Referring Only - DentistPractitioner - Dentist 2567789076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 1856175MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Awasthy DDS PC PastSince Jun 3, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1447595327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MIDDLESEX ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511103",
            "telephone_number": "978-455-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MIDDLESEX ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511103",
            "telephone_number": "978-455-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 W Erie St",
            "address_2": "c/o Juliette Boyce, Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606546914",
            "country_code": "US",
            "telephone_number": "312-274-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWASTHY",
        "first_name": "VINEET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN 1856175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.