Suresh Kumar Varma Vegesana, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12012081A Issued in IN

Practice address

4512 Parnell Ave
Fort Wayne, IN 46825-5836

Phone

(260) 399-1333

Fax

(260) 755-3271

NPI assigned

Jul 9, 2010

Last updated

May 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Dental Fort Wayne LLC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1356289128
  NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1063724805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 PARNELL AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255836",
            "telephone_number": "260-399-1333",
            "fax_number": "260-755-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 PARNELL AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255836",
            "telephone_number": "260-399-1333",
            "fax_number": "260-755-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGESANA",
        "first_name": "SURESH",
        "middle_name": "KUMAR VARMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028411",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Veerkamp, MD
• Mary Pat Veerkamp, MD
• Patrick M. Veerkamp, M.D.
• Giridhar Rao Veerula
• Vijay Veerula, DO
• Satish RC Velagapudi, M.D.
• John Michael Velasquez
• Kera Velazquez, FNP-BC
• Mikayla Velazquez
• Sara J Velazquez

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.