Prathima Sree Prasanna Vemulapalli, DMD, MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21677 Issued in MA

Practice address

188 Longwood Ave
Reb 203
Boston, MA 02115-5819

Phone

(617) 283-6428

Fax

(617) 432-7319

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prathima Sree Menta Prasanna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1427229814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 REVERE ST",
            "address_2": "#3002",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981328",
            "telephone_number": "617-283-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "address_2": "REB 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-283-6428",
            "fax_number": "617-432-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMULAPALLI",
        "first_name": "PRATHIMA SREE",
        "middle_name": "PRASANNA",
        "credential": "DMD, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "21677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATHIMA SREE",
            "last_name": "PRASANNA",
            "middle_name": "MENTA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Constantine Velmahos, BS
• George Velmahos, MD PHD
• Agostina Estefania Velo, M.D.
• Preetha Velu
• Prakasa Rao Vempati
• Michelle D Vendetti, RN
• Jennel Marie Vendola, CPNP
• Caroline Margaret Venegas, BA
• Kiki Constance Venios
• Lawrence E Venis, ATC, LAT

• Periodontics in Boston, MA
• Providers in Boston, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.