Active NPI
Varsha Kadyan, BDS, MDS
- Oral and Maxillofacial Radiology Dentistry
- La Vista, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 37953
- Practice address
- 12223 W Giles Rd
La Vista, NE 68128-5801 - Phone
- (531) 867-4273
- NPI assigned
- Mar 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 7859 | NE | |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 37953 | TX | Primary |
Addresses
Primary practice location
12223 W Giles Rd
La Vista, NE 68128-5801
Mailing address
1323 S 211TH St
Elkhorn, NE 68022-2421
Other practice location 1
3400 S Gessner Rd Ste 109
Houston, TX 77063-7229
Phone (832) 242-5400
Other practice location 2
10670 N Central Expy
Dallas, TX 75231-2111
Phone (214) 750-0900
Other practice location 3
11503 NW Military Hwy Ste 212
San Antonio, TX 78231-1895
Phone (210) 404-1215
Other practice location 4
7800 N Mopac Expy Ste 115
Austin, TX 78759-8961
Phone (512) 795-9950
Other practice location 5
1323 S 211th St
Elkhorn, NE 68022-2421
Phone (402) 575-8946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725003823 | CT | Order and Referring Only - Dentist | 6507113230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37953 | TX | MD | Oral and Maxillofacial Radiology Dentist |
| 12299 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagdent LLC | Current | Accepting new patients | |
| Imd Houston Gessner LP | Past | Accepting new patients | |
| Imagdent Austin LP | Past | Accepting new patients | |
| Imagdent Austin Group LLC | Past | Accepting new patients | |
| Imagdent San Antonio LLC | Past | Accepting new patients |
Locations
12223 W Giles Rd
La Vista, NE 68128
Phone (531) 867-4273
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- La Vista, NE
- NPI 1982298295
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1689268997
-
- Computed Tomography Radiologic Technologist
- Austin, TX
- NPI 1477700300
-
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1023602331
-
- Computed Tomography Radiologic Technologist
- Houston, TX
- NPI 1376790204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707609600000",
"number": "1922501121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 S 211TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12223 W GILES RD",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681285801",
"telephone_number": "531-867-4273"
}
],
"practiceLocations": [
{
"address_1": "3400 S Gessner Rd Ste 109",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770637229",
"country_code": "US",
"telephone_number": "832-242-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10670 N Central Expy",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752312111",
"country_code": "US",
"telephone_number": "214-750-0900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11503 NW Military Hwy Ste 212",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782311895",
"country_code": "US",
"telephone_number": "210-404-1215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7800 N Mopac Expy Ste 115",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598961",
"country_code": "US",
"telephone_number": "512-795-9950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1323 S 211th St",
"address_purpose": "LOCATION",
"city": "Elkhorn",
"state": "NE",
"postal_code": "680222421",
"country_code": "US",
"telephone_number": "402-575-8946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADYAN",
"first_name": "VARSHA",
"name_prefix": "Dr.",
"credential": "BDS, MDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2024-02-11",
"certification_date": "2024-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NE",
"license": "7859",
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "TX",
"license": "37953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.