Vamsi Mohan Narisetty

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2022040166 Issued in MO

Practice address

1517 Union Ave Ste C
Moberly, MO 65270-9471

Phone

(844) 853-8937

NPI assigned

Dec 23, 2021

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1427718089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BENNETT SPRINGS DR APT 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017256",
            "telephone_number": "601-307-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 UNION AVE STE C",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709471",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARISETTY",
        "first_name": "VAMSI MOHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2022040166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Eye Doctor, LLC
• N & R of Moberly, Inc. (Moberly Nursing & Rehab)
• N&Co Homecare LLC (Homecare of Mid Missouri)
• N&Co Homecare LLC (HomeCare of Mid Missouri Hospice)
• Wendell K Nall, PHYSICAL THERAPIST
• Joanne Patricia Narr
• Lynn Nicole Netzer, PT
• Abdul R, Nizam II, M.D
• North Village Park SNF Opco LLC (North Village Park)
• North Village Park, LLC

• General Practice Dentistry in Moberly, MO
• Providers in Moberly, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.