Organization Active NPI

Trenton Family Dental Care - Dr.Vasudha Basava DDS LLC

  • General Practice Dentistry
  • Trenton, OH
National Provider Identifier
1821332024
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022452 Issued in OH
Legal business name
TRENTON FAMILY DENTAL CARE - DR.VASUDHA BASAVA DDS LLC
Practice address
122 E State St
Trenton, OH 45067-1528
Phone
(513) 988-6316
Fax
(513) 988-6317
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Vasudha Basava, DDS
Title
Managing Member
Phone
(513) 988-6316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30022452 OH Primary

Addresses

Primary practice location

122 E State St
Trenton, OH 45067-1528

Mailing address

122 E State St
Trenton, OH 45067-1528

National Provider Directory

National Provider Directory

Locations

122 E State St
Trenton, OH 45067
Phone (513) 988-6316

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1821332024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E STATE ST",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450671528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E STATE ST",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450671528",
            "telephone_number": "513-988-6316",
            "fax_number": "513-988-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENTON FAMILY DENTAL CARE - DR.VASUDHA BASAVA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "BASAVA",
        "authorized_official_first_name": "VASUDHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "513-988-6316",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, OH

Sources for this page

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