Active NPI
V Prabu Dev, DDS
- Dentist
- Easton, PA
National Provider Identifier
1316938004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS020617Y
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000521830002 | Medicaid | PA |
Other names 1
- Dr. Prabhushamappa Veerasettappa
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51753 | CA | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.