Healthcare Provider Details

I. General information

NPI: 1033799093
Provider Name (Legal Business Name): RAPIDS DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 42ND ST SE STE B
CEDAR RAPIDS IA
52403-3987
US

IV. Provider business mailing address

1000 42ND ST SE STE B
CEDAR RAPIDS IA
52403-3987
US

V. Phone/Fax

Practice location:
  • Phone: 319-249-6970
  • Fax: 319-249-6970
Mailing address:
  • Phone: 319-249-6970
  • Fax: 319-249-6970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SATYA VIJAY KUMAR VADDADI
Title or Position: DENTIST
Credential: DDS
Phone: 563-258-2186