Venkata Achalla

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4144 Issued in NM

Practice address

2050 E Algonquin Rd
610
Schaumburg, IL 60173-4144

Phone

(847) 701-1457

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

Yes

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 NM

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

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.

• Familia Dental Carlsbad LLC

  • General Practice Dentistry
  • Carlsbad, NM
  • NPI 1811333800

  General Practice

  NPD (past)
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1821404864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203514",
            "telephone_number": "888-988-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E ALGONQUIN RD",
            "address_2": "610",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734144",
            "telephone_number": "847-701-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHALLA",
        "first_name": "VENKATA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accessmydoc Inc
• Accessmydoc, LLC
• Accord Physical Therapy LLC
• Accure Labs LLC
• Anthony Carmine Aceto, APRN, FNP-C
• Alan Joseph Acierno, D.D.S.
• Kathleen Acord
• Emily Adams, LCSW
• Adaptive Steps LLC
• Addus Nurse Care, Inc.

• General Practice Dentistry in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.