Active NPI
Archana Venkataraman, B.D.S, M.S.D
- Periodontics
- Carrollton, TX
National Provider Identifier
1023559101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 33664
- Practice address
- 1500 W Hebron Pkwy Ste 108
Carrollton, TX 75010 - Phone
- (763) 843-4188
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 33664 | TX | Primary |
Addresses
Primary practice location
1500 W Hebron Pkwy Ste 108
Carrollton, TX 75010
Mailing address
9809 N Macarthur Blvd Apt 402
Irving, TX 75063-4759
Phone (763) 843-4188
Other practice location 1
9809 N MacArthur Blvd Apt 402
Irving, TX 75063-4759
Phone (763) 843-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33664 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1023559101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 N MACARTHUR BLVD APT 402",
"city": "IRVING",
"state": "TX",
"postal_code": "750634759",
"telephone_number": "763-843-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W HEBRON PKWY STE 108",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "763-843-4188"
}
],
"practiceLocations": [
{
"address_1": "9809 N MacArthur Blvd Apt 402",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750634759",
"country_code": "US",
"telephone_number": "763-843-4188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKATARAMAN",
"first_name": "ARCHANA",
"name_prefix": "Dr.",
"credential": "B.D.S, M.S.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "33664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
- Guillermo David Vazquez
- Reshma Y Veerji, DDS
- Mikhal Sura Vegh, OTD
- Marianicolle Velarde
- Frank Veninga, M.D., F.A.C.S.
- Veritas Enterprises, Inc (Golden Heritage hospice services)
- Veritas Enterprises, Inc (Golden Heritage Hospice Services)
- Versoal, PLLC (Advanced Physiatry Group)
- Karen Quinn Verver
- Very Serene Care Agency Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.