Organization Active NPI

Ashok N Veeranki DDS Inc a Professional Dental Coorporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Tracy, CA
National Provider Identifier
1164942645
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
51526 Issued in CA
Legal business name
ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION
Practice address
620 W Eaton Ave
Tracy, CA 95376-3361
Phone
(209) 823-9371
Fax
(209) 823-8374
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jill Baldwin
Title
Practice Administrator
Phone
(209) 823-9371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 51526 CA Primary

Addresses

Primary practice location

620 W Eaton Ave
Tracy, CA 95376-3361

Mailing address

620 W Eaton Ave
Tracy, CA 95376-3361
Phone (209) 823-9371

Other practice location 1

1600 W Yosemite Ave Ste 3
Manteca, CA 95337-5188
Phone (209) 823-9371 ext. 103

National Provider Directory

National Provider Directory

Locations

1600 W Yosemite Ave
Ste 3
Manteca, CA 95337
Phone (209) 823-9371

620 W Eaton Ave
Tracy, CA 95376
Phone (209) 823-9371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164942645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763361",
            "telephone_number": "209-823-9371",
            "fax_number": "209-823-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763361",
            "telephone_number": "209-823-9371",
            "fax_number": "209-823-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Yosemite Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953375188",
            "country_code": "US",
            "telephone_number": "209-823-9371 x103",
            "fax_number": "209-823-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-823-9371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "51526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.