Active NPI
Vani Mallipeddi, DMD
- General Practice Dentistry
- Biddeford, ME
National Provider Identifier
1457419293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3817
- Practice address
- 28 W Cole Rd Ste 104
Biddeford, ME 04005-9428 - Phone
- (207) 282-3928
- Fax
- (207) 284-1231
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3817 | ME | Primary |
Addresses
Primary practice location
28 W Cole Rd Ste 104
Biddeford, ME 04005-9428
Mailing address
28 W Cole Rd Ste 104
Biddeford, ME 04005-9428
Phone (207) 282-3928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432245199 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3817 | ME | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457419293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 W COLE RD STE 104",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059428",
"telephone_number": "207-282-3928",
"fax_number": "207-284-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 W COLE RD STE 104",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059428",
"telephone_number": "207-282-3928",
"fax_number": "207-284-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLIPEDDI",
"first_name": "VANI",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "3817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432245199",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.