Organization Active NPI

Veerabhadra PLLC

  • General Practice Dentistry
  • Bedford, TX
National Provider Identifier
1316406416
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VEERABHADRA PLLC
Practice address
1600 Bedford Rd Ste 200
Bedford, TX 76021-5702
Phone
(817) 358-0909
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Gayathri Gunda, DDSNPI 1417241209
Title
Owner
Phone
(817) 358-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1600 Bedford Rd Ste 200
Bedford, TX 76021-5702

Mailing address

1600 Bedford Rd Ste 200
Bedford, TX 76021-5702
Phone (817) 358-0909

Other identifiers 1

IdentifierTypeStateIssuer
1417241209OtherTXNPPES

National Provider Directory

National Provider Directory

Locations

1600 Bedford Rd
#200
Bedford, TX 76021
Phone (817) 358-0909

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1316406416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD RD STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215702",
            "telephone_number": "817-358-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD RD STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215702",
            "telephone_number": "817-358-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEERABHADRA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "GAYATHRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-358-0909",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1417241209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.