Individual provider Active NPI

Vinita Pankaj Ved, BDS, MDS

  • Prosthodontics
  • Birmingham, AL
National Provider Identifier
1447987656
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
ST-000373 Issued in AL
Practice address
3220 5TH Ave S # 2022
Birmingham, AL 35222-2309
Phone
(205) 975-9842
Fax
(205) 975-2613
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S192 MN
Prosthodontics 1223P0700X ST-000373 AL Primary

Addresses

Primary practice location

3220 5TH Ave S # 2022
Birmingham, AL 35222-2309

Mailing address

3220 5TH Ave S # 2022
Birmingham, AL 35222-2309
Phone (205) 975-9842

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230516001720 MN Practitioner - Oral Surgery 5597121608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ST-000373ALMDProsthodontist
S192MNMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
1917 Dental Clinic CurrentSince Aug 14, 2022 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2023 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2023 Accepting new patients

Locations

3220 5th Ave S
#2022
Birmingham, AL 35222
Phone (205) 975-9842

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 4

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": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1447987656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 5TH AVE S # 2022",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222309",
            "telephone_number": "205-975-9842",
            "fax_number": "205-975-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 5TH AVE S # 2022",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222309",
            "telephone_number": "205-975-9842",
            "fax_number": "205-975-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VED",
        "first_name": "VINITA",
        "middle_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "S192",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "ST-000373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.