Individual provider Active NPI

Parabhajot Vasdev, DMD

  • Dentist
  • Rochester, MN
National Provider Identifier
1770563322
Registry record updated Oct 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11094 Issued in MN
Practice address
1812 2ND St SW
Rochester, MN 55902-4127
Phone
(507) 208-4141
Fax
(507) 204-4140
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11094 MN Primary

Addresses

Primary practice location

1812 2ND St SW
Rochester, MN 55902-4127

Mailing address

1812 2ND St SW
Rochester, MN 55902-4127
Phone (507) 208-4141

Other identifiers 1

IdentifierTypeStateIssuer
592023000MedicaidMN

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
D11094MNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223078400000",
    "number": "1770563322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024127",
            "telephone_number": "507-208-4141",
            "fax_number": "507-204-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024127",
            "telephone_number": "507-208-4141",
            "fax_number": "507-204-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASDEV",
        "first_name": "PARABHAJOT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592023000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2008; 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.