Yelamanchi Dental PLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401414230 Issued in VA

Legal business name

YELAMANCHI DENTAL PLC

Practice address

13817 Jefferson Park Dr
Apt 4212
Herndon, VA 20171-4789

Phone

(650) 245-3047

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Chetan Yelamanchi, DDS

Title

Ceo

Phone

(650) 245-3047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1992134050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 JEFFERSON PARK DR",
            "address_2": "APT 4212",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714789",
            "telephone_number": "650-245-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 JEFFERSON PARK DR",
            "address_2": "APT 4212",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714789",
            "telephone_number": "650-245-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELAMANCHI DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "YELAMANCHI",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-245-3047",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401414230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.