Kathleen P Vani, DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15634 Issued in MI

Practice address

52133 Van Dyke Ave
Shelby Township, MI 48316-3529

Phone

(586) 731-4320

NPI assigned

Jan 11, 2006

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

Other names 1

• Dr. Kathleen P Vani-Matway Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942289707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52133 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163529",
            "telephone_number": "586-731-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52133 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163529",
            "telephone_number": "586-731-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANI",
        "first_name": "KATHLEEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS PLLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "VANI-MATWAY",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Vincent Valeri, DDS
• Shannon Valicevic
• Larry Van Ameyde, DDS
• Van de Vyver Dental, P.C.
• Shawn Thomas Van de Vyver, DDS
• Hailey Vansen, DC
• Zachary Vansen, D.C
• Paul S Vanwalleghem, DDS
• Michelle Vasille
• Jenna Vaught

• General Practice Dentistry in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.