Individual provider Active NPI

V Prabu Dev, DDS

  • Dentist
  • Easton, PA
National Provider Identifier
1316938004
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020617Y Issued in PA
Practice address
3800 William Penn Hwy
Easton, PA 18045-5028
Phone
(610) 923-0100
Fax
(610) 923-0115
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020617Y PA Primary
Dentist 122300000X 51753 CA

Addresses

Primary practice location

3800 William Penn Hwy
Easton, PA 18045-5028

Mailing address

3800 William Penn Hwy
Easton, PA 18045-5028
Phone (610) 923-0100

Other identifiers 1

IdentifierTypeStateIssuer
000521830002MedicaidPA

Other names 1

  • Dr. Prabhushamappa Veerasettappa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51753CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316938004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455028",
            "telephone_number": "610-923-0100",
            "fax_number": "610-923-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455028",
            "telephone_number": "610-923-0100",
            "fax_number": "610-923-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEV",
        "first_name": "V",
        "middle_name": "PRABU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020617Y",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521830002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRABHUSHAMAPPA",
            "last_name": "VEERASETTAPPA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.