Individual provider Active NPI

Komal Ramzanali, DDS

  • Dentist
  • Harrisburg, PA
National Provider Identifier
1033780523
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044509 Issued in PA
Practice address
4230 Crums Mill Rd Ste 202
Harrisburg, PA 17112-2898
Phone
(210) 326-7740
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37446 TX
Dentist 122300000X DS044509 PA Primary

Addresses

Primary practice location

4230 Crums Mill Rd Ste 202
Harrisburg, PA 17112-2898

Mailing address

4230 Crums Mill Rd Ste 202
Harrisburg, PA 17112-2898
Phone (210) 326-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003977 PA Order and Referring Only - Pediatric DentistryPractitioner - Pediatric Dentistry 4183168990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lee & Milani Family Dentistry PastSince Jul 1, 2021 Accepting new patients

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1033780523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122898",
            "telephone_number": "210-326-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122898",
            "telephone_number": "210-326-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMZANALI",
        "first_name": "KOMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37446",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.