Individual provider Active NPI

Vishal Bagchi, RD, LD

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1891323317
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00960781
Practice address
3809 San Jacinto St Apt B
Dallas, TX 75204-5233
Phone
(214) 264-8706
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X DT80358 TX
Renal Nutrition Registered Dietitian 133VN1005X DT80358 TX
Metabolic Nutrition Registered Dietitian 133VN1006X DT80358 TX
Gerontological Nutrition Registered Dietitian 133VN1101X DT80358 TX
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DT80358 TX
Oncology Nutrition Registered Dietitian 133VN1301X DT80358 TX
Pediatric Critical Care Nutrition Registered Dietitian 133VN1401X DT80358 TX
Sports Dietetics Nutrition Registered Dietitian 133VN1501X DT80358 TX
Registered Dietitian 133V00000X 00960781 Primary

Addresses

Primary practice location

3809 San Jacinto St Apt B
Dallas, TX 75204-5233

Mailing address

3809 San Jacinto St Apt B
Dallas, TX 75204-5233
Phone (214) 264-8706

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
DT80358TXMDPediatric Critical Care Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1891323317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SAN JACINTO ST APT B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045233",
            "telephone_number": "214-264-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SAN JACINTO ST APT B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045233",
            "telephone_number": "214-264-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGCHI",
        "first_name": "VISHAL",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1401X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "TX",
            "license": "DT80358",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "00960781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.