Individual provider Active NPI

Kamdi Ahuamanta Irondi, DDS

  • Dentist
  • Bennington, VT
National Provider Identifier
1467996199
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0124902 Issued in VT
Practice address
130 Union St
Bennington, VT 05201-2918
Phone
(802) 447-7682
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016.0124902 VT Primary

Addresses

Primary practice location

130 Union St
Bennington, VT 05201-2918

Mailing address

130 Union St
Bennington, VT 05201-2918
Phone (802) 447-7682

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

LicenseStateTypeSpecialty
016.0124902VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kam Dental Humble PLLC Current Accepting new patients
Union Street Dental, PLC Past Accepting new patients

Locations

6920 Garth Rd
Baytown, TX 77521
Phone (281) 421-5950

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1467996199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 UNION ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012918",
            "telephone_number": "802-447-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 UNION ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012918",
            "telephone_number": "802-447-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRONDI",
        "first_name": "KAMDI",
        "middle_name": "AHUAMANTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0124902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.