Venu Kallam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22210 Issued in MA

Practice address

439 Broadway
Everett, MA 02149-3612

Phone

(617) 944-9627

Fax

(617) 944-9742

NPI assigned

Jul 3, 2008

Last updated

May 12, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Global Dental P.C

  • Dental Clinic/Center
  • Everett, MA
  • NPI 1013483254
  NPD Authorized official
• City Dental LLC

  • Dentist
  • Everett, MA
  • NPI 1467721969
  NPD (past)
• Globus Dental Care Center at Lynn

  • Dentist
  • Lynn, MA
  • NPI 1598080566
  NPD (past)
• Union St Family Dental PC

  • Dentist
  • Lynn, MA
  • NPI 1164690814
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1518120013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493612",
            "telephone_number": "617-944-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493612",
            "telephone_number": "617-944-9627",
            "fax_number": "617-944-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAM",
        "first_name": "VENU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DN22210",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Jin, DMD
• Berthonya Joas
• John F Yee, MD, PC
• Britt Alan Johnson, DC
• Janene Johnson
• Heidi Kalogerakos
• Stephen Kamau
• Pei-Yun Kao
• Donald M Kaplan, M.D.
• Karim Salem DMD PC (everett Orthodontics)

• General Practice Dentistry in Everett, MA
• Providers in Everett, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.