Active NPI
Amanda Pound Venk, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1558649806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6304
- Practice address
- 500 Driggs Ave
Ground Floor Suite
Brooklyn, NY 11211 - Phone
- (405) 229-2844
- NPI assigned
- Aug 3, 2011
- Last updated
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6304 | OK | Primary |
Addresses
Primary practice location
500 Driggs Ave
Ground Floor Suite
Brooklyn, NY 11211
Mailing address
500 Driggs Ave
Ground Floor Suite
Brooklyn, NY 11211-9349
Phone (405) 229-2844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20160908000817 | OK | Order and Referring Only - Oral Surgery | 5890081400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6304 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venk Dental PLLC | Current | Accepting new patients | |
| Sleep Impressions, LLC | Past | Accepting new patients | |
| Drumright Community Hospital LLC | Past | Accepting new patients |
Locations
709 W Main St
Norman, OK 73069
Phone (405) 321-6506
Organizations & group practices 3
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.
-
dba Drumright Regional Hospital
- Critical Access Hospital
- Drumright, OK
- NPI 1194353870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1558649806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DRIGGS AVE",
"address_2": "GROUND FLOOR SUITE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112119349",
"telephone_number": "405-229-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DRIGGS AVE",
"address_2": "GROUND FLOOR SUITE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11211",
"telephone_number": "405-229-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENK",
"first_name": "AMANDA",
"middle_name": "POUND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.