Daniela Vivaldi, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

12546 Issued in NC

Practice address

10207 Cerny St Ste 114
Raleigh, NC 27617-4880

Phone

(919) 660-9000

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 5, 2020 through Aug 5, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dvivaldi468947@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1558814491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 CERNY ST STE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174880",
            "telephone_number": "919-660-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 CERNY ST STE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174880",
            "telephone_number": "919-660-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Elmview Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275195202",
            "country_code": "US",
            "telephone_number": "919-802-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVALDI",
        "first_name": "DANIELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NC",
            "license": "0225",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "151115",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NC",
            "license": "12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Maria Vitale
• Vitalride, LLC
• Vitlink Psychiatric Services PLLC
• Alex Joshuah Vitshteyn, CRNA
• Emily Lamb Viva, LCSW
• Vivian a Throop DDS PLLC (City of Oaks Dental)
• Charles J Viviano, MD
• Taana Viviano, MD
• Megan R Vlasic, PT, DPT
• VLB Holding LLC (Prime Aging Care)

• Orofacial Pain Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Orofacial Pain Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.