Individual provider Active NPI

Veena V Ammal, DDS

  • General Practice Dentistry
  • Cordova, TN
National Provider Identifier
1437147337
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 0000007987 Issued in TN
Practice address
694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284
Phone
(901) 334-1900
NPI assigned
Oct 13, 2005
Last updated
May 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS 0000007987 TN Primary

Addresses

Primary practice location

694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284

Mailing address

694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284
Phone (901) 334-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20170111001754 TN Practitioner - Oral Surgery 4082994751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 0000007987TNMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1437147337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 N GERMANTOWN PKWY",
            "address_2": "SUITE 50",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186284",
            "telephone_number": "901-334-1900",
            "fax_number": "901-334-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 N GERMANTOWN PKWY",
            "address_2": "SUITE 50",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186284",
            "telephone_number": "901-334-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAL",
        "first_name": "VEENA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 0000007987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.