Unknown Vandana, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23528 Issued in OH

Practice address

34302 Euclid Ave
Willoughby, OH 44094-3334

Phone

(440) 946-4241

Fax

(440) 550-4519

NPI assigned

Aug 15, 2011

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Meckler Dental Providers (Macedonia), Inc.

  dba DentalWorks of Macedonia

  • General Practice Dentistry
  • Macedonia, OH
  • NPI 1073769204
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1881973352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 ROYAL PORTRUSH DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395252",
            "telephone_number": "704-280-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34302 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943334",
            "telephone_number": "440-946-4241",
            "fax_number": "440-550-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDANA",
        "first_name": "UNKNOWN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "23528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Victor Valaitis, DDS
• Brianna Valdes
• Van Gorder Manor
• McKenna Van Rafelghem
• Vance & Teknipp Eye Care, LLC (Vance Eye Care)
• Kimberly Vanik, CNP
• Marcelle Lee Vanwinkle, LPN
• Rose Vargo, MA SLP
• Elizabeth Ann Vencl, CLPN
• J Michael Vento, M.D.

• General Practice Dentistry in Willoughby, OH
• Providers in Willoughby, OH by specialty
• General Practice Dentistry in Ohio

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