NPIMap

Organization Active NPI

Ashok N Veeranki DDS Inc a Professional Dental Coorporation

Doing business as North Bay Dental Implants & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • San Rafael, CA
National Provider Identifier
1912836149
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION
Doing business as
North Bay Dental Implants & Oral Surgery
Practice address
899 Northgate Dr Ste 200
San Rafael, CA 94903-3666
Phone
(628) 258-0718
Fax
(628) 258-0741
NPI assigned
May 14, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Jenn Heritage
Title
Credentialing Manager
Phone
(402) 805-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

899 Northgate Dr Ste 200
San Rafael, CA 94903-3666

Mailing address

899 Northgate Dr Ste 200
San Rafael, CA 94903-3666
Phone (628) 258-0718

Other names 1

  • North Bay Dental Implants & Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashok N Veeranki DDS Inc a Professional Dental Coorporation3 organizations share this tax ID, including this one
Part of
Ashok N Veeranki DDS Inc a Professional Dental Coorporation

Other organizations with this tax ID 2

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

Locations

899 Northgate Dr
Ste 200
San Rafael, CA 94903
Phone (628) 258-0718

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1912836149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033666",
            "telephone_number": "628-258-0718",
            "fax_number": "628-258-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033666",
            "telephone_number": "628-258-0718",
            "fax_number": "628-258-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "402-805-4516"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Dental Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.