Active NPI
Janette Nagrampa, DDS
- Dentist
- Fort Smith, AR
National Provider Identifier
1083274823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4351
- Practice address
- 2913 S 74TH St
Fort Smith, AR 72903-5156 - Phone
- (479) 484-5050
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4351 | AR | Primary |
Addresses
Primary practice location
2913 S 74TH St
Fort Smith, AR 72903-5156
Mailing address
2913 S 74TH St
Fort Smith, AR 72903-5156
Phone (479) 484-5050
Other practice location 1
230 N Elmira Ave
Russellville, AR 72802-9617
Phone (479) 280-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235343608 | Medicaid | AR |
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 |
|---|---|---|---|
| 4351 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Dental Care | Current | Accepting new patients | |
| Dental Health Associates of Arkansas, P.a. | Past | Accepting new patients |
Locations
2913 S 74th St
Fort Smith, AR 72903
Phone (479) 484-5050
Organizations & group practices 2
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.
-
- Customized Equipment (DME)
- Fort Smith, AR
- NPI 1194154443
-
- General Practice Dentistry
- Russellville, AR
- NPI 1295155158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1083274823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 S 74TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035156",
"telephone_number": "479-484-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 S 74TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035156",
"telephone_number": "479-484-5050"
}
],
"practiceLocations": [
{
"address_1": "230 N Elmira Ave",
"address_purpose": "LOCATION",
"city": "Russellville",
"state": "AR",
"postal_code": "728029617",
"country_code": "US",
"telephone_number": "479-280-1920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGRAMPA",
"first_name": "JANETTE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235343608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.