Active NPI
Hareesh Veerabhadraiah, D.D.S.
- General Practice Dentistry
- Perris, CA
National Provider Identifier
1831238609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33041
- Practice address
- 391 Wilkerson Ave
Suite B
Perris, CA 92570-2254 - Phone
- (951) 943-4007
- Fax
- (951) 943-1037
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33041 | CA | Primary |
Addresses
Primary practice location
391 Wilkerson Ave
Suite B
Perris, CA 92570-2254
Mailing address
391 Wilkerson Ave
Suite B
Perris, CA 92570-2254
Phone (951) 943-4007
Other names 1
- Dr. Hareesh Veerabhadraia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33041 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.Hareesh | Current | Accepting new patients | |
| Hareesh Dental Corporation | Current | Accepting new patients | |
| Hareesh Dental Corp | General Practice | Current | Accepting new patients |
Locations
391 Wilkerson Ave
Ste B
Perris, CA 92570
Phone (951) 943-4007
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Perris, CA
- NPI 1558410019
-
- Dentist
- Perris, CA
- NPI 1619385358
-
- Dentist
- San Jacinto, CA
- NPI 1255749016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1831238609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 WILKERSON AVE",
"address_2": "SUITE B",
"city": "PERRIS",
"state": "CA",
"postal_code": "925702254",
"telephone_number": "951-943-4007",
"fax_number": "951-943-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 WILKERSON AVE",
"address_2": "SUITE B",
"city": "PERRIS",
"state": "CA",
"postal_code": "925702254",
"telephone_number": "951-943-4007",
"fax_number": "951-943-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEERABHADRAIAH",
"first_name": "HAREESH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAREESH",
"last_name": "VEERABHADRAIA",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.