Vidya Sadasivan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600235 Issued in MI

Practice address

5348 County Road 581
Wesley Chapel, FL 33544-8612

Phone

(813) 973-1837

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  • Dentist
  • Wesley Chapel, FL
  • NPI 1750957130
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1639722960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30425 KNIGHTON DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 COUNTY ROAD 581",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448612",
            "telephone_number": "813-973-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6111 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489115714",
            "country_code": "US",
            "telephone_number": "517-393-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADASIVAN",
        "first_name": "VIDYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26436",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Rynn, PA-C
• S&S Wellness
• S&Y Ventures, LLC
• Jayson A Sack, MD
• Sacred Heart Psychiatry PA
• Edin Sadic, M.D.
• Safe Haven, LLC
• Safepath Nemt LLC
• Sage Dental of Wesley Chapel Specialty Center PLLC
• Sage Dental of Wesley Chapel, PLLC

• Dentist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.