Duraiappa Dental Services PC

Primary specialty

DentistTaxonomy code 122300000X

License

11917 Issued in MN

Legal business name

DURAIAPPA DENTAL SERVICES PC

Practice address

304 W Lyon St
PO 448
Marshall, MN 56258-1308

Phone

(507) 532-2233

Fax

(507) 532-2234

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venkatraman Duraiappa, BDS

Title

Owner

Phone

(507) 532-2233

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Warren Johnson, DDS

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1659482669
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1023244589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W LYON ST",
            "address_2": "PO 448",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581308",
            "telephone_number": "507-532-2233",
            "fax_number": "507-532-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W LYON ST",
            "address_2": "PO 448",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581308",
            "telephone_number": "507-532-2233",
            "fax_number": "507-532-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAIAPPA DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "DURAIAPPA",
        "authorized_official_first_name": "VENKATRAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-532-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jory Dove, LPCC
• Dr. R. W. Johnson, P.a. (Dental Health Center)
• Loreen Kay Dragstra
• Jessica Lin Dressen, LPN, IBCLC
• Rebecca Drietz-Steinbronn, LICSW
• Kelly Dvorak, D.C.
• Alexandria Christine Echols-Simpson, MD
• Ed Yerka Psychological Services, PLC
• Callie Jaye Eichten
• Christopher Eichten, DC

• Dentist in Marshall, MN
• Providers in Marshall, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.