Kowshik R Vaddi, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

0401414337 Issued in VA

Practice address

8353 Greensboro Dr
Suite a & B
MC Lean, VA 22102-3530

Phone

(774) 212-3828

NPI assigned

Jun 3, 2007

Last updated

Aug 11, 2015By the provider in NPPES

Sex

Male

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

Enrolled in WI

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.

• Oak Tree Dental LLC

  • General Practice Dentistry
  • McLean, VA
  • NPI 1316323546
  NPD (past) Authorized official

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1750583738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13080 ROSE PETAL CIR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714825",
            "telephone_number": "774-212-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 GREENSBORO DR",
            "address_2": "SUITE A & B",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023530",
            "telephone_number": "774-212-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADDI",
        "first_name": "KOWSHIK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6215-015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uniquehands Nemt Services, Inc (Uniquehands Nonemergency Medical Transportation)
• United Medical Management, Inc. (American Physical Therapy Network)
• Jacqueline D Urow, LCSW
• US Home Healthcare LLC
• Utopia Psychological Services
• Racquel Valadez
• Farnaz Valaei, DDS, MD
• Jenna Elizabeth Valania, AU.D.
• Jane Annunziata Vandenbos, PSY.D.
• Courtney Patricia Vanwie, DPT

• Dentist in McLean, VA
• Providers in McLean, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.