Active NPI
Vivek Narra
- Dentist
- Hampton, VA
National Provider Identifier
1538792197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416857
- Practice address
- 2040 Coliseum Dr
Hampton, VA 23666-3200 - Phone
- (757) 262-0020
- NPI assigned
- Feb 21, 2020
- Last updated
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416857 | VA | Primary |
Addresses
Primary practice location
2040 Coliseum Dr
Hampton, VA 23666-3200
Mailing address
6343 Township Road 136
Findlay, OH 45840-9675
Phone (419) 819-2214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210624002922 | IL | Order and Referring Only - Dentist | 0547661712 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416857 | VA | MD | Dentist |
Interoperability endpoints
- vivek.narra.p29@direct.fhn-fqhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1538792197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6343 TOWNSHIP ROAD 136",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458409675",
"telephone_number": "419-819-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 COLISEUM DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663200",
"telephone_number": "757-262-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARRA",
"first_name": "VIVEK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.