Active NPI
Dr Elayne Smithen Ramos, DMD, PC
- Dentist
- Philadelphia, PA
National Provider Identifier
1053764209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS038731
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026036420010 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Phila, PA
- NPI 1538362181
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.