Bhuvan Shome Venigalla, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858517 Issued in MA

Practice address

3033 Washington St
Roxbury, MA 02119-1227

Phone

(617) 541-2200

NPI assigned

Oct 9, 2019

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

Medicare fee-for-service enrollment

Enrolled in MA

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.

• Dental Dreams, LLC

  • Dentist
  • Roxbury, MA
  • NPI 1225207517
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1740822964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PARKMAN ST APT 1B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024467019",
            "telephone_number": "201-688-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191227",
            "telephone_number": "617-541-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENIGALLA",
        "first_name": "BHUVAN SHOME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sherrell Vass
• Chela Vastey
• Ivelisse Vazquez, MSW, LCSW
• Sagar Raju Vegesna, PHARMD
• Ana Maria Vendrell Gonzalez
• Fuensanta Ascension Vera-Diaz, O.D., PH.D.
• Alexandra Vera
• Dena Vicente, FNP
• Cynthia Victor
• Hannah Viechnicki

• Dentist in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.