Active NPI
Ishrat Rangwala, DMD
- Dentist
- Greenwich, CT
National Provider Identifier
1003255084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10962
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10962 | CT | MD | Clinical Social Worker |
| 22DI02544400 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Centers Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Greenwich, CT
- NPI 1235588625
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.