VANI PAVAN PERIODONTIST
NPI 1053657494
Dentist - Periodontics in Marlin, TX
About Vani Pavan Periodontist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANI PAVAN PERIODONTIST (NPI 1053657494) is an individual periodontics provider in Marlin, Texas, licensed in Texas (28582) and active in the NPI registry since December 2012. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Grapevine.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Vani Pavan Periodontist has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vani Pavan's NPI number?
The NPI number for Vani Pavan is 1053657494. It was assigned to this individual provider in the NPPES registry on December 12, 2012.
Where is Vani Pavan located?
Vani Pavan practices at 110 Church St, Marlin, TX 76661. The listed phone number is (972) 670-4991.
What is Vani Pavan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Vani Pavan enrolled in Medicare?
No. Vani Pavan has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Vani Pavan accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Vani Pavan 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 Vani Pavan was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vani Pavan, PERIODONTIST · NPI 1053657494
Periodontics provider in Marlin, Texas. Individual provider, active in the CMS NPPES registry since December 12, 2012.
## Identity
- **NPI:** 1053657494 (Entity type: Individual)
- **Enumerated:** December 12, 2012
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 28582 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 CHURCH ST, Marlin, TX 76661-2809
- **Phone:** (972) 670-4991
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2020
- **Other identifiers:** Medicaid 1205490257 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1053657494) · Data from the CMS NPPES public registry.