Individual provider Active NPI

Veena N Raj, DMD

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1952347858
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33541 Issued in TX
Practice address
13725 Northwest Blvd Ste 270
Corpus Christi, TX 78410-5123
Phone
(361) 992-9500
Fax
(361) 992-1862
NPI assigned
Jun 21, 2006
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33541 TX
General Practice Dentistry 1223G0001X 12010836A IN
General Practice Dentistry 1223G0001X 33541 TX Primary

Addresses

Primary practice location

13725 Northwest Blvd Ste 270
Corpus Christi, TX 78410-5123

Mailing address

6200 Saratoga Blvd BLDG 1
Corpus Christi, TX 78414-3477
Phone (361) 992-9500

Other practice location 1

3435 S Alameda St Ste A
Corpus Christi, TX 78411-1797
Phone (361) 992-9500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33541TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KDC Staples, PLLC Dentist PastSince Mar 7, 2021 Accepting new patients
Paul a Kennedy, Jr., D.D.S., Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1952347858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SARATOGA BLVD BLDG 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143477",
            "telephone_number": "361-992-9500",
            "fax_number": "361-992-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE 270",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105123",
            "telephone_number": "361-992-9500",
            "fax_number": "361-992-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 S Alameda St Ste A",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111797",
            "country_code": "US",
            "telephone_number": "361-992-9500",
            "fax_number": "361-992-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "VEENA",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33541",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010836A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.