Individual provider Active NPI

Varsha Kadyan, BDS, MDS

  • Oral and Maxillofacial Radiology Dentistry
  • La Vista, NE
National Provider Identifier
1922501121
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
37953 Issued in TX
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

Updated by the provider on Feb 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725003823 CT Order and Referring Only - DentistPractitioner - Dentist 6507113230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37953TXMDOral and Maxillofacial Radiology Dentist
12299CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imagdent LLC CurrentSince Feb 18, 2024 Accepting new patients
Imd Houston Gessner LP Past Accepting new patients
Imagdent Austin LP Past Accepting new patients
Imagdent Austin Group LLC PastSince Mar 4, 2021 Accepting new patients
Imagdent San Antonio LLC PastSince Mar 4, 2021 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.

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

Verify at the official NPI Registry.