Organization Active NPI

Vijay Gaddam PC

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1730432162
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010520 Issued in CT
Legal business name
VIJAY GADDAM PC
Doing business as
7 Hills Dental
Practice address
43 Sullivan St
Springfield, MA 01104-2415
Phone
(413) 785-5566
Fax
(413) 785-5568
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Vijay Gaddam, DMD
Title
President
Phone
(413) 785-5566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 010520 CT Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22226 MA

Addresses

Primary practice location

43 Sullivan St
Springfield, MA 01104-2415

Mailing address

43 Sullivan St
Springfield, MA 01104-2415
Phone (413) 785-5566

Other names 1

  • 7 Hills Dental Doing business as

National Provider Directory

National Provider Directory

Locations

43 Sullivan St
Springfield, MA 01104
Phone (413) 231-0248

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1730432162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SULLIVAN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042415",
            "telephone_number": "413-785-5566",
            "fax_number": "413-785-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SULLIVAN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042415",
            "telephone_number": "413-785-5566",
            "fax_number": "413-785-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY GADDAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-785-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010520",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7 Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.