Vick Indravadan Thakkar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856576 Issued in MA

Practice address

162 Haverhill St
Methuen, MA 01844-3462

Phone

(978) 682-6200

NPI assigned

May 5, 2014

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 MA

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thakkar Dental PC

  dba Total Dental

  • Dental Clinic/Center
  • Lawrence, MA
  • NPI 1912576885
  NPD Authorized official
• Springfield Family Dental PC

  • Dental Clinic/Center
  • Methuen, MA
  • NPI 1336863471
  NPD
• Dental Dreams, LLC

  • General Practice Dentistry
  • New Bedford, MA
  • NPI 1942447289
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1750791380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443462",
            "telephone_number": "978-682-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443462",
            "telephone_number": "978-682-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "VICK",
        "middle_name": "INDRAVADAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Fred Teitler, M.D.
• Isabel Tejada
• Leyda Yolanda Tejeda, R.N.
• Tender Healthcare LLC
• Ashley Snow Tetreault
• Jasmine Thammalangsy, PA
• Lucy Sharin Thanos, RN
• Dorairayu Thavaseelan, MD
• Perin Sorab Thavaseelan, M.D.
• The Practice Dr Joulak PC

• General Practice Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.