Active NPI
Nikita Rungta
- Dentist
- Holland, OH
National Provider Identifier
1114777893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.027537
- Practice address
- 6658 Airport Hwy
Holland, OH 43528-8135 - Phone
- (734) 773-7657
- NPI assigned
- Mar 25, 2024
- Last updated
- May 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 30.027537 | OH | Primary |
Addresses
Primary practice location
6658 Airport Hwy
Holland, OH 43528-8135
Mailing address
2297 Stone Rd
Ann Arbor, MI 48105-2536
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 |
|---|---|---|---|
| 30.027537 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1114777893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 STONE RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6658 AIRPORT HWY",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435288135",
"telephone_number": "734-773-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNGTA",
"first_name": "NIKITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.027537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.