Kaveendra Thushara Ranasinghe, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10319 Issued in OR

Practice address

790 Lawson Ave
Woodburn, OR 97071-2988

Phone

(503) 982-1188

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Woodburn Community Dental

  • Dentist
  • Woodburn, OR
  • NPI 1386968568
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1063897650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 NW 128TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LAWSON AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712988",
            "telephone_number": "503-982-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANASINGHE",
        "first_name": "KAVEENDRA",
        "middle_name": "THUSHARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssia Kristine Puente, RDH
• Maibelys Quesada Valdes
• Colin Rafter, PA-C
• Evelyn Ramirez-Piedra
• Molly Ramsay, ARNP
• Vilma Lorena Rangel, APRN
• Sarah Rankin, FNP
• Robert Allan Rappleyea, D.M.D.
• Jennifer Raynsford
• Tracy Lynn Read, M.D.

• General Practice Dentistry in Woodburn, OR
• Providers in Woodburn, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.