Asvin Vidyacharan Vasanthan, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2006039344 Issued in MO

Practice address

1420 E Roseville Pkwy
#230
Roseville, CA 95661-3078

Phone

(916) 788-1114

Fax

(916) 788-1353

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Yes, effective Mar 9, 2018 through Mar 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicky M Hakimi DDS Inc

  • Periodontics
  • Roseville, CA
  • NPI 1598810004
  NPD (past)
• Sierra Periodontal Group

  • Periodontics
  • Orangevale, CA
  • NPI 1639492226
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1619000478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY",
            "address_2": "#230",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "916-788-1114",
            "fax_number": "916-788-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY",
            "address_2": "#230",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "916-788-1114",
            "fax_number": "916-788-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANTHAN",
        "first_name": "ASVIN",
        "middle_name": "VIDYACHARAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2006039344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Lopez Vargas, DDS
• Reigene Vargas
• Jolly A Varghese, RN
• Joseph T Varghese
• Akaansha Varma
• Crystal Vasquez
• Mateo James Vasquez
• Nancy Jo Vassallo, P.A-C
• Vataniman Psychological Services, PC
• Anup Reddy Vatti, DO

• Periodontics in Roseville, CA
• Providers in Roseville, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.