Versa Dental PLLC
NPI 1679459994ActiveOrganization· Dentist, General Practice· Beverly, MA
Dentist, General Practice in Beverly, Massachusetts, registered in NPPES in August 2025. The authorized official on file is Ximena D. Venegas, DMD, Managing Dentist.
Overview
| NPI | 1679459994 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2025 |
| Last updated in NPPES | Aug 12, 2025 |
| Certified by provider | Aug 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Beverly
- 1013701259
- 1821003302
- 1013515147
- 1407446941
- 1891898813
- 1720625452
- 1528182284
- 1033318811
- 1073771978
- 1144645292
- 1942347331
- 1073715058