Kavitha Paidipati, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001012-15 Issued in WI

Practice address

3030 N Ballard Rd
Forward Dental
Appleton, WI 54911

Phone

(920) 954-8085

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1922403633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 TRI PARK WAY",
            "address_2": "UNIT 2",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549146432",
            "telephone_number": "573-529-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N BALLARD RD",
            "address_2": "FORWARD DENTAL",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-954-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIDIPATI",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001012-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Sue Paffenroth, NURSE PRACTITIONER
• Jeffrey Jon Paffenroth, D.D.S.
• Trenton Paffenroth, D.M.D.
• Tracy Louise Page, M.D.,M.A.
• Charlene Marie Pagel, CNM
• Pain Centers of Wisconsin - Appleton, LLC
• Pain Centers of Wisconsin - Appleton, LLC
• Pain Relief 1 LLC
• Amy Marie Paine, COTA
• Jolanta M Pajek, D.D.S.

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.