Neda Vessali, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60079 Issued in KS

Practice address

132 N West St
Wichita, KS 67203-1246

Phone

(316) 943-3273

Fax

(316) 943-8491

NPI assigned

Jan 8, 2007

Last updated

Mar 14, 2023By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Envy Dental LLC

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1144921354
  NPD Authorized official
• Cambridge Family Dentistry, P.a.

  • Dental Clinic/Center
  • Wichita, KS
  • NPI 1376005124
  NPD (past)
• Cambridge Family Dentisty PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1184773541
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1952450314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031246",
            "telephone_number": "316-214-1492",
            "fax_number": "316-943-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031246",
            "telephone_number": "316-943-3273",
            "fax_number": "316-943-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cambridge Family Dentistry PA",
            "address_2": "2020 N Webb Bldg 301",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67206",
            "country_code": "US",
            "telephone_number": "316-687-2110",
            "fax_number": "316-636-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESSALI",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "116602",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "999298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.

Verify at the official NPI Registry.