1134468564

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

1134468564

Practice address

7841 Alexander Promenade PL # S100
Raleigh, NC 27617-1913

Phone

(919) 354-5400

Fax

(919) 354-5401

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Danesha Y Horton

Title

Financial Coordinator

Phone

(919) 354-5400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Prasad Veera Vasamsetti, D.M.D.

  • Dentist
  • Raleigh, NC
  • NPI 1639207749
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1235916636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 ALEXANDER PROMENADE PL # S100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171913",
            "telephone_number": "919-354-5400",
            "fax_number": "919-354-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 ALEXANDER PROMENADE PL # S100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171913",
            "telephone_number": "919-354-5400",
            "fax_number": "919-354-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1134468564",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "DANESHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "919-354-5400"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Raleigh, NC
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.