Individual provider Active NPI

Ishrat Rangwala, DMD

  • Dentist
  • Greenwich, CT
National Provider Identifier
1003255084
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10962 Issued in CT
Practice address
Wilbur Peck Court
Greenwich, CT 06830
Phone
(646) 379-6675
Fax
(646) 379-6675
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02544400 NJ
Dentist 122300000X 10962 CT Primary

Addresses

Primary practice location

Wilbur Peck Court
Greenwich, CT 06830

Mailing address

212 Roger Ave
Westfield, NJ 07090-1776
Phone (646) 379-6768

Other practice location 1

212 Roger Ave
Westfield, NJ 07090-1776
Phone (646) 379-6675

Other practice location 2

360 Connecticut Ave
Norwalk, CT 06854-1824
Phone (203) 831-0080

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10962CTMDClinical Social Worker
22DI02544400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: irangwala639778@direct.ynhh.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003255084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ROGER AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901776",
            "telephone_number": "646-379-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILBUR PECK COURT",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "646-379-6675",
            "fax_number": "646-379-6675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Roger Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070901776",
            "country_code": "US",
            "telephone_number": "646-379-6675",
            "fax_number": "646-379-6675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Connecticut Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068541824",
            "country_code": "US",
            "telephone_number": "203-831-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGWALA",
        "first_name": "ISHRAT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02544400",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.