NPIMap

Organization Active NPI

Dr. Asha J Vellanki DDS PC

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1700059474
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012151 Issued in GA
Legal business name
DR. ASHA J VELLANKI DDS PC
Doing business as
Hope Dental Group
Practice address
4046 Wetherburn Way
Ste 3
Norcross, GA 30092-4660
Phone
(770) 368-3297
Fax
(770) 242-3862
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Asha J Vellanki, DDSNPI 1578509402
Title
Ceo
Phone
(770) 368-3297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012151 GA Primary

Addresses

Primary practice location

4046 Wetherburn Way
Ste 3
Norcross, GA 30092-4660

Mailing address

4046 Wetherburn Way
Ste 3
Norcross, GA 30092-4660
Phone (770) 368-3297

Other names 1

  • Hope Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Asha J Vellanki DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4046 Wetherburn Way
Ste 3
Norcross, GA 30092
Phone (770) 368-3297

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1700059474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 WETHERBURN WAY",
            "address_2": "STE 3",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924660",
            "telephone_number": "770-368-3297",
            "fax_number": "770-242-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 WETHERBURN WAY",
            "address_2": "STE 3",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924660",
            "telephone_number": "770-368-3297",
            "fax_number": "770-242-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ASHA J VELLANKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "VELLANKI",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-368-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.