Virajitha Velichala

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012771A Issued in IN

Practice address

2880 Walmart Dr Unit 2920
Huntington, IN 46750-7977

Phone

(260) 200-4100

NPI assigned

Jul 3, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Virajitha Velichala DDS PC

  • Dental Clinic/Center
  • Huntington, IN
  • NPI 1952099483
  NPD Authorized official
• Marvel Dental DDS PC

  • Dental Clinic/Center
  • Fort Wayne, IN
  • NPI 1679229504
  NPD
• Lakewood Family Dental of Lafayette Inc

  • Dentist
  • Lafayette, IN
  • NPI 1487026431
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1801317573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 PRATO CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451385",
            "telephone_number": "216-801-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 WALMART DR UNIT 2920",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467507977",
            "telephone_number": "260-200-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 Coldwater Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468255527",
            "country_code": "US",
            "telephone_number": "260-666-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6408 W Jefferson Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468046204",
            "country_code": "US",
            "telephone_number": "260-666-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELICHALA",
        "first_name": "VIRAJITHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012771A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmavathi Tummala, PA-C
• Fawn Updike, RN, MSN
• Julie A Utendorf, MD
• Marla A Vandegrift, LMHC
• Kevin Scott Vanden Akker, ATC, LAT
• Village of Grace Home Care LLC
• Virajitha Velichala DDS PC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• General Practice Dentistry in Huntington, IN
• Providers in Huntington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.