Individual provider Active NPI

Vejay Kumar Ravindran III, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1477864643
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015192 Issued in GA
Practice address
13220 Strickland Rd Ste 166
Raleigh, NC 27613-5213
Phone
(919) 251-5572
Fax
(919) 424-0170
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE-60185606 WA
General Practice Dentistry 1223G0001X 60185606 WA
General Practice Dentistry 1223G0001X DN015192 GA Primary

Addresses

Primary practice location

13220 Strickland Rd Ste 166
Raleigh, NC 27613-5213

Mailing address

13220 Strickland Rd Ste 166
Raleigh, NC 27613-5213
Phone (919) 251-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240930001823 NC Practitioner - Dentist 3870024037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE-60185606WAMDDentist
DN015192GAMDGeneral Practice Dentistry
60185606WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 31, 2025 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: vravindran480778@direct.medicine.duke.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1477864643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 STRICKLAND RD STE 166",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135213",
            "telephone_number": "919-251-5572",
            "fax_number": "919-424-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 STRICKLAND RD STE 166",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135213",
            "telephone_number": "919-251-5572",
            "fax_number": "919-424-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRAN III",
        "first_name": "VEJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE-60185606",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60185606",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.