Organization Active NPI

Douglas W. Vayda DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shakopee, MN
National Provider Identifier
1902087554
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on May 20, 2010

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.