Organization Active NPI

Vama LLC

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1962190025
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VAMA LLC
Practice address
9093 Ridgefield Dr Ste 203
Frederick, MD 21701-6712
Phone
(217) 414-4234
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Chetan Baddam, DDSNPI 1568777605
Title
Owner
Phone
(217) 414-4234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9093 Ridgefield Dr Ste 203
Frederick, MD 21701-6712

Mailing address

11500 Commerce Park Dr Apt 440
Reston, VA 20191-1176
Phone (217) 414-4234

Other names 1

  • Frederick Dental group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1962190025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 COMMERCE PARK DR APT 440",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911176",
            "telephone_number": "217-414-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712",
            "telephone_number": "217-414-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BADDAM",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-414-4234",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.