Active NPIIndividual provider

Dr. Jeeva Venkataraman, DDS, MD

Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts

NPI Number1457091720
Practice location
59 Quinsigamond Ave Ste 101, Worcester, MA 01610-1867
Fax
—
Last updated
July 30, 2026

Jeeva Venkataraman is a Dentist, Oral and Maxillofacial Surgery based in Worcester, MA. Jeeva Venkataraman practices in Worcester, MA and has the professional credentials of DDS, MD. The NPI Number for Jeeva Venkataraman is 1457091720 and holds a License No. DN10001353 (MA). The current practice location address for Jeeva Venkataraman is 59 Quinsigamond Ave Ste 101, Worcester, MA 01610-1867 and can be reached out via phone at 508-799-2550.

Provider Profile Details

NPI Number
1457091720
Provider Name
Jeeva Venkataraman
Credential
DDS, MD
Provider Entity Type
Individual
Gender
Male
Address
59 Quinsigamond Ave Ste 101, Worcester, MA 01610-1867
Phone Number
508-799-2550
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2022
Last Update Date
July 30, 2026
Certification Date
July 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Quinsigamond Ave Ste 101
Worcester, MA 01610-1867
Zip
01610-1867
Phone Number
508-799-2550
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
59 Quinsigamond Ave Ste 101
Worcester, MA 01610-1867
City
Worcester
State
MA
Zip
01610-1867
Phone Number
508-799-2550

License Information

License Number
DN10001353
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeeva Venkataraman, DDS, MD?

The NPI number of Dr. Jeeva Venkataraman, DDS, MD is 1457091720. It was assigned on April 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeeva Venkataraman, DDS, MD?

Dr. Jeeva Venkataraman, DDS, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number DN10001353.

Where does Dr. Jeeva Venkataraman, DDS, MD practice?

The practice location is 59 Quinsigamond Ave Ste 101, Worcester, MA 01610-1867. The office can be reached at 508-799-2550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457091720 directly on the NPPES registry website.

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