Active NPI
Kirtana Vedire, DMD
- Dentist
- Bastrop, TX
National Provider Identifier
1487327250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37613
- Practice address
- 715 Old Austin Hwy Ste 400
Bastrop, TX 78602-5165 - Phone
- (512) 212-9803
- NPI assigned
- Jul 28, 2021
- Last updated
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 37613 | TX | Primary |
Addresses
Primary practice location
715 Old Austin Hwy Ste 400
Bastrop, TX 78602-5165
Mailing address
1740 Siena Sunset Rd
Leander, TX 78641-3889
Phone (503) 887-3862
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 |
|---|---|---|---|
| 37613 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1487327250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 SIENA SUNSET RD",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413889",
"telephone_number": "503-887-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 OLD AUSTIN HWY STE 400",
"city": "BASTROP",
"state": "TX",
"postal_code": "786025165",
"telephone_number": "512-212-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDIRE",
"first_name": "KIRTANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2022-03-18",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
- Troy Alonzo Enis Jr.,Inc.
- Melissa Jacquelyn Troy
- Michelle Truong
- Stacia Urban
- USA Emergency Centers - Bastrop, LLC (Ally Medical Emergency Room Bastrop)
- Baris Vefali, MD
- Tiffany Rose Vigil, PSY.D.
- Laurier A Vocal, MD
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1042)
- Wal-Mart Stores Texas, LP (Vision Center 30-1042)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.