Active NPI
Veena Bhat Venkataraman, D.D.S
- General Practice Dentistry
- Alpharetta, GA
National Provider Identifier
1316009897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012408
- Practice address
- 12315 Crabapple Road
Suite #121
Alpharetta, GA 30004 - Phone
- (770) 569-0613
- Fax
- (770) 569-0614
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012408 | GA | Primary |
Addresses
Primary practice location
12315 Crabapple Road
Suite #121
Alpharetta, GA 30004
Mailing address
12315 Crabapple Road
Suite #121
Alpharetta, GA 30004
Phone (770) 569-0613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012408 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1316009897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE ROAD",
"address_2": "SUITE #121",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30004",
"telephone_number": "770-569-0613",
"fax_number": "770-569-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE ROAD",
"address_2": "SUITE #121",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30004",
"telephone_number": "770-569-0613",
"fax_number": "770-569-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATARAMAN",
"first_name": "VEENA",
"middle_name": "BHAT",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.