Active NPI
Douglas W. Vayda DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Shakopee, MN
National Provider Identifier
1902087554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DOUGLAS W. VAYDA DDS
- Practice address
- 1335 10TH Ave E
Shakopee, MN 55379-2901 - Phone
- (952) 445-7700
- NPI assigned
- Nov 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Sellner
- Title
- Office Manager
- Phone
- (952) 445-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1335 10TH Ave E
Shakopee, MN 55379-2901
Mailing address
1335 10TH Ave E
Shakopee, MN 55379-2901
Phone (952) 445-7700
National Provider Directory
National Provider DirectoryLocations
1335 10th Ave E
Shakopee, MN 55379
Phone (952) 445-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1902087554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 10TH AVE E",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792901",
"telephone_number": "952-445-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 10TH AVE E",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792901",
"telephone_number": "952-445-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS W. VAYDA DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-23",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "SELLNER",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "952-445-7700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.