Active NPI
Ashok N Veeranki DDS Inc a Professional Dental Coorporation
- Oral and Maxillofacial Surgery (Dentist)
- Tracy, CA
National Provider Identifier
1164942645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 51526
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Manteca, CA
- NPI 1235425828
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.