Organization Active NPI

Dr Elayne Smithen Ramos, DMD, PC

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1053764209
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS038731 Issued in PA
Legal business name
DR ELAYNE SMITHEN RAMOS, DMD, PC
Practice address
6227 Rising Sun Ave
Philadelphia, PA 19111-5645
Phone
(215) 742-4999
Fax
(267) 388-8882
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Dr. Elayne Smithen Ramos
Title
Owner
Phone
(215) 742-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS038731 PA Primary

Addresses

Primary practice location

6227 Rising Sun Ave
Philadelphia, PA 19111-5645

Mailing address

6227 Rising Sun Ave
Philadelphia, PA 19111-5645
Phone (215) 742-4999

Other identifiers 1

IdentifierTypeStateIssuer
1026036420010MedicaidPA

National Provider Directory

National Provider Directory

Locations

6227 Rising Sun Ave
Philadelphia, PA 19111
Phone (215) 742-4999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1053764209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115645",
            "telephone_number": "215-742-4999",
            "fax_number": "267-388-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115645",
            "telephone_number": "215-742-4999",
            "fax_number": "267-388-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELAYNE SMITHEN RAMOS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "SMITHEN RAMOS",
        "authorized_official_first_name": "ELAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-742-4999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026036420010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.