Sreemali Vasantha, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3444 Issued in NH

Practice address

102 Pleasant St
Suite # 3
Concord, NH 03301-3831

Phone

(603) 225-4143

Fax

(603) 226-9413

NPI assigned

Sep 29, 2005

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• White Park Dental PLLC

  • General Practice Dentistry
  • Concord, NH
  • NPI 1497197024
  NPD (past) Authorized official
• Kristen E. Harvey DDS, LLC

  dba White Park Dental

  • General Practice Dentistry
  • Concord, NH
  • NPI 1174157770
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1689661381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PLEASANT ST",
            "address_2": "SUITE # 3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013831",
            "telephone_number": "603-225-4143",
            "fax_number": "603-226-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PLEASANT ST",
            "address_2": "SUITE # 3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013831",
            "telephone_number": "603-225-4143",
            "fax_number": "603-226-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANTHA",
        "first_name": "SREEMALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30303629",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Varano
• Nicole Varasteh, MD
• Robyn Ann Vargo, DO
• Avani Varshney
• Stephanie Vary
• Raven Vasquez
• Dawna Vaughan, MS, OTR/L
• Patrick Berry Vaughan, DDS
• Rachel Vaughan, LICSW
• Stephanie MW Vazzano, MS, LCMHC, ATR-BC

• General Practice Dentistry in Concord, NH
• Providers in Concord, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.

Verify at the official NPI Registry.