Active NPI
Vivek Thumbigere Math, B.D.S
- Periodontics
- Minneapolis, MN
National Provider Identifier
1871758458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- R422
- Practice address
- 515 Delaware St SE
Moos Tower 7-360
Minneapolis, MN 55455-0357 - Phone
- (612) 625-6177
- NPI assigned
- Jul 23, 2008
- Last updated
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | R422 | MN | Primary |
Addresses
Primary practice location
515 Delaware St SE
Moos Tower 7-360
Minneapolis, MN 55455-0357
Mailing address
2, 1St Main, BHCS Layout, Near Subbanna Garden
Vijayanagar
Bangalore, KARNATAKA 560040
IN
Phone 918023391004
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
| License | State | Type | Specialty |
|---|---|---|---|
| R422 | MN | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1871758458",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2, 1ST MAIN, BHCS LAYOUT, NEAR SUBBANNA GARDEN",
"address_2": "VIJAYANAGAR",
"city": "BANGALORE",
"state": "KARNATAKA",
"postal_code": "560040",
"telephone_number": "918023391004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "MOOS TOWER 7-360",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357",
"telephone_number": "612-625-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUMBIGERE MATH",
"first_name": "VIVEK",
"name_prefix": "Dr.",
"credential": "B.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "R422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.