Venkatraman Duraiappa, BDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11917 Issued in MN

Practice address

2 E 5TH St
Morris, MN 56267-1344

Phone

(320) 589-4481

NPI assigned

Jul 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Depot Inc

  • Dentist
  • Morris, MN
  • NPI 1831254150
  NPD (past)
• Dental Depot, LLC

  • Dentist
  • Morris, MN
  • NPI 1285022145
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174538805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MONTANA AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671231",
            "telephone_number": "562-225-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 5TH ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671344",
            "telephone_number": "320-589-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIAPPA",
        "first_name": "VENKATRAMAN",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jane Denzer
• Jodie Singh Dhanda
• Chandel Dietz
• Risa Ann Dorweiler, NP
• Nicole Dougherty, PHARMD
• Lisa Engquist
• Megan Erickson, DPT
• Glenda Feist, P.T.
• Stefanie Fragodt
• Kristi Kay Furrer, OTR

• General Practice Dentistry in Morris, MN
• Providers in Morris, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.