Manasi G Vasavada, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417130 Issued in VA

Practice address

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Phone

(757) 978-2177

NPI assigned

Jul 11, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1730665910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 GATEWAY DR APT 302",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351143",
            "telephone_number": "734-239-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022530",
            "telephone_number": "757-978-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075051014",
            "country_code": "US",
            "telephone_number": "973-295-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASAVADA",
        "first_name": "MANASI",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "2DI02723400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine McKnight Vanslyke, D.O.
• Vantage Care, LLC
• Benjamin Stevan Vantasel, DO
• Ann Jane Varatharaj, MS
• Laura O Varner, FNP-C
• Vishal Abhilash Vasavada, M.D.
• Rishik Vashisht, M.D.
• Jacqueline Mary Vaughan, CCC-SLP
• Kimberly Vaughan
• Tierra Marie Vaughan

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.