NPIMap

Organization Active NPI

Prasad Vasamsetti DMD, PLLC

  • Public Health Dentistry
  • Raleigh, NC
National Provider Identifier
1134468564
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
5906614 Issued in NC
Legal business name
PRASAD VASAMSETTI DMD, PLLC
Practice address
7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913
Phone
(919) 354-5400
Fax
(919) 354-5401
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Prasad Veera Vasamsetti, DMD
Title
Owner/ Manager
Phone
(919) 354-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X 5906614 NC Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913

Mailing address

7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913
Phone (919) 354-5400

Other identifiers 2

IdentifierTypeStateIssuer
5906614MedicaidNC
002746701OtherNCUNITED CONCORDIA

Other names 1

  • Brier Creek Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1134468564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 ALEXANDER PROMENADE PL",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171913",
            "telephone_number": "919-354-5400",
            "fax_number": "919-354-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 ALEXANDER PROMENADE PL",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171913",
            "telephone_number": "919-354-5400",
            "fax_number": "919-354-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD VASAMSETTI DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "VASAMSETTI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "VEERA",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "919-354-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "5906614",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906614",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "002746701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brier Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.