Active NPI
Savitri Vaseenon
- Dentist
- Iowa City, IA
National Provider Identifier
1912238403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- #30274
- Practice address
- S229 Dental Science Building
Iowa City, IA 52242 - Phone
- (319) 594-1403
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | #30274 | IA | Primary |
Addresses
Primary practice location
S229 Dental Science Building
Iowa City, IA 52242
Mailing address
558 Hawkeye CT
Iowa City, IA 52246-2829
Phone (319) 594-1403
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 |
|---|---|---|---|
| #30274 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1912238403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 HAWKEYE CT",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462829",
"telephone_number": "319-594-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S229 DENTAL SCIENCE BUILDING",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-594-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASEENON",
"first_name": "SAVITRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "#30274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.