Organization Active NPI

Apex Dental Fort Wayne LLC

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1356289128
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APEX DENTAL FORT WAYNE LLC
Practice address
3601 Hobson Rd Ste 101
Fort Wayne, IN 46815-4537
Phone
(260) 215-9155
Fax
(260) 215-9156
NPI assigned
Mar 23, 2026
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Suresh Kumar Varma Vegesana, DDS
Title
Member/Owner
Phone
(270) 243-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3601 Hobson Rd Ste 101
Fort Wayne, IN 46815-4537

Mailing address

3601 Hobson Rd Ste 101
Fort Wayne, IN 46815-4537
Phone (260) 215-9155

National Provider Directory

National Provider Directory

Locations

3601 Hobson Rd
Ste 101
Fort Wayne, IN 46815
Phone (260) 215-9155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1356289128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HOBSON RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154537",
            "telephone_number": "260-215-9155",
            "fax_number": "260-215-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HOBSON RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154537",
            "telephone_number": "260-215-9155",
            "fax_number": "260-215-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DENTAL FORT WAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "VEGESANA",
        "authorized_official_first_name": "SURESH KUMAR VARMA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "270-243-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.