Prameela Vennapusala, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

35352 Issued in TX

Practice address

259 Fort Cobb Way
Georgetown, TX 78628-2121

Phone

(425) 829-4738

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Rohini Singh DMD PLLC

  • General Practice Dentistry
  • Killeen, TX
  • NPI 1891146411
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1164084554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 FORT COBB WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282121",
            "telephone_number": "425-829-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 FORT COBB WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282121",
            "telephone_number": "425-829-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNAPUSALA",
        "first_name": "PRAMEELA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Vaughn
• Diana Teruko Vaught
• Katherine Marie Vega, M.D.
• Kari Ann Velasquez
• Olivia Delilah Venegas
• Christine Carol Veres, OTR/L
• Kamini D Verma, LCSW
• Verora Ai
• Christine Petra Vick, MA, LPC, NCC
• Stephanie Vidrine, PHD

• Dentist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.