Individual provider Active NPI

Sireesha Veeranki, B.D.S.,M.D.S.,D.M.D.

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1548549744
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008282 Issued in AZ
Practice address
3440 E Baseline Rd
Suite 106
Mesa, AZ 85204-7247
Phone
(480) 926-2350
NPI assigned
Aug 5, 2011
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 D008282 AZ Primary

Addresses

Primary practice location

3440 E Baseline Rd
Suite 106
Mesa, AZ 85204-7247

Mailing address

3440 E Baseline Rd
Suite 106
Mesa, AZ 85204-7247
Phone (480) 926-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171020003056 AZ Order and Referring Only - DentistPractitioner - Dentist 1254607104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Modern Dentistry, LLP General Practice Past Accepting new patients

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1548549744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERANKI",
        "first_name": "SIREESHA",
        "credential": "B.D.S.,M.D.S.,D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.