Active NPI
Balasubramaniam Dhandapani, M.D
- Surgery Physician
- Vernon, CT
National Provider Identifier
1225120447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 016769
- Practice address
- 96 Irene Drive
Vernon, CT 06066 - Phone
- (860) 810-6835
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 016769 | CT | Primary |
Addresses
Primary practice location
96 Irene Drive
Vernon, CT 06066
Mailing address
96 Irene Dr
Vernon, CT 06066-4006
Phone (860) 810-6835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016769 | CT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1225120447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 IRENE DR",
"city": "VERNON",
"state": "CT",
"postal_code": "060664006",
"telephone_number": "860-810-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 IRENE DRIVE",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-810-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANDAPANI",
"first_name": "BALASUBRAMANIAM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "016769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.