Individual provider Active NPI

Vandana Duggirala, DDS, BDS

  • General Practice Dentistry
  • Englewood, CO
National Provider Identifier
1710756374
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00205830 Issued in CO
Practice address
501 W Hampden Ave
Englewood, CO 80110-2109
Phone
(303) 942-8773
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00205830 CO Primary

Addresses

Primary practice location

501 W Hampden Ave
Englewood, CO 80110-2109

Mailing address

7292 S Blackhawk St # 2-104
Englewood, CO 80112-4109
Phone (412) 537-8033

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

LicenseStateTypeSpecialty
00205830COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1710756374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7292 S BLACKHAWK ST # 2-104",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124109",
            "telephone_number": "412-537-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102109",
            "telephone_number": "303-942-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGIRALA",
        "first_name": "VANDANA",
        "credential": "DDS, BDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00205830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.