Active NPI
Viji Seetharaman, DDS
- Dentist
- Philadelphia, PA
National Provider Identifier
1114280435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039249
- Practice address
- 5675 N Front St
Suite 50
Philadelphia, PA 19120 - Phone
- (215) 224-0440
- Fax
- (215) 224-0446
- NPI assigned
- Jun 21, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS039249 | PA | Primary |
Addresses
Primary practice location
5675 N Front St
Suite 50
Philadelphia, PA 19120
Mailing address
430 W Erie St
Ste 200
Chicago, IL 60654-6914
Phone (312) 274-0487
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 |
|---|---|---|---|
| DS039249 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nusmile Dental LLC | Dentist | Current | Accepting new patients |
| My Smile for Life | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1881346427
-
- Dentist
- Philadelphia, PA
- NPI 1952865933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1114280435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W ERIE ST",
"address_2": "STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606546914",
"telephone_number": "312-274-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 N FRONT ST",
"address_2": "SUITE 50",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-224-0440",
"fax_number": "215-224-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEETHARAMAN",
"first_name": "VIJI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.