Irum Ibrahim Vedachhia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09956 Issued in IA

Practice address

6630 Mills Civic Pkwy Unit 1110
West Des Moines, IA 50266-8354

Phone

(515) 327-7000

NPI assigned

Aug 9, 2016

Last updated

Dec 29, 2021By the provider in NPPES

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

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Dental Pop West Des Moines PC

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1629586433
  NPD (past)
• Studio Dental, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1629249610
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1659825446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 AZALEA DR APT 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222407",
            "telephone_number": "310-903-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 MILLS CIVIC PKWY UNIT 1110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668354",
            "telephone_number": "515-327-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 S Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093013",
            "country_code": "US",
            "telephone_number": "773-869-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDACHHIA",
        "first_name": "IRUM",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012876A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030891",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Vander Kooi
• Robert Vanderlinden Jr., DPT
• Marc Lee Vandervelden, DPT CSCS
• Brittany Jaron Vandevender
• Jennifer A Vandivier, P.A.-C.
• Angela J Veenstra, ARNP
• Nicholas Gene Vellema, PA-C
• Anna Veltien
• Ramya Vemulapalli, MD
• Venice Beach LLC

• General Practice Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.