Rama Krishna Yelisetty, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DGD.8185 GD Issued in SC

Practice address

368 Harbison Blvd
Ste 201
Columbia, SC 29212-2248

Phone

(803) 234-2320

Fax

(803) 781-5219

NPI assigned

Apr 9, 2013

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 SC

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

State licenses

Practice roles

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

• Reconstructive Surgery Center of Newport Beach Inc

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1437592169
  NPD (past)

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1437592516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 HARBISON BLVD",
            "address_2": "STE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122248",
            "telephone_number": "803-234-2320",
            "fax_number": "803-781-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 HARBISON BLVD",
            "address_2": "STE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122248",
            "telephone_number": "803-234-2320",
            "fax_number": "803-781-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELISETTY",
        "first_name": "RAMA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8185 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Eugene Yeargin, ATC
• Susan Yeargin, ATC
• Zariel A Yeargin
• Constance Yearling, MD MPH
• Jerome Yelder Sr., PHD PSYD MBA MS MP
• Susan Parker Yelverton
• Janice Smith Yensan, MA ,CCC-SLP
• Philip Alexandre Yeon, MD
• Patrick Yergler
• Olivia Yessin

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.