DR. VIVEK GANDOTRA DDS
NPI 1013054931
Dentist in Las Vegas, NV

Active since January 31, 2007PECOS Enrolled
2212 S EASTERN AVE, LAS VEGAS, NV 89104(702) 220-9908(702) 220-4471 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vivek Gandotra Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVEK GANDOTRA DDS (NPI 1013054931) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (5625) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013054931
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. VIVEK GANDOTRACredential: DDS
Location Address2212 S EASTERN AVELas Vegas, NV 89104-4124
Mailing Address3325 Research WayCarson City, NV 89706-7913 · (775) 888-6610 · Fax (775) 887-7046
Fax(702) 220-4471
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 14, 2012
NPI 1013054931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NV · 5625
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2212 S EASTERN AVE, Las Vegas, NV 89104

Other Identifiers 1

Medicaid100504768NV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vivek Gandotra Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Dental Hygienist
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Obstetrics & Gynecology
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Family Medicine
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Dental Hygienist
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Dentist
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Dentist
2212 S EASTERN AVE
LAS VEGAS, NV 89104
Physician Assistant
2212 S EASTERN AVE
LAS VEGAS, NV 89104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivek Gandotra's NPI number?

The NPI number for Vivek Gandotra is 1013054931. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Vivek Gandotra located?

Vivek Gandotra practices at 2212 S Eastern Ave, Las Vegas, NV 89104. The listed phone number is (702) 220-9908.

What is Vivek Gandotra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vivek Gandotra enrolled in Medicare?

Yes. Vivek Gandotra is registered in the Medicare PECOS enrollment system.

What insurance does Vivek Gandotra accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Vivek Gandotra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivek Gandotra was last updated on August 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.