Individual provider Active NPI

Suman A Ramakumar, D.D.S.

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1144369299
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52456 Issued in CA
Practice address
122 Saratoga Ave Ste 100
Santa Clara, CA 95051-7384
Phone
(408) 317-7297
Fax
(408) 947-8204
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52456 CA Primary

Addresses

Primary practice location

122 Saratoga Ave Ste 100
Santa Clara, CA 95051-7384

Mailing address

122 Saratoga Ave Ste 100
Santa Clara, CA 95051-7384
Phone (408) 247-2612

Other practice location 1

1171 Homestead Rd
175
Santa Clara, CA 95050-5478
Phone (408) 247-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822004038 CA Practitioner - DentistPractitioner - Oral Surgery 0648508044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52456CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Suman Ramakumar DDS Inc General Practice CurrentSince Aug 1, 2019 Accepting new patients
Suman Ramakumar DDS Inc General Practice PastSince Aug 11, 2019 Accepting new patients
Suman Ramakumar DDS Inc General Practice Past Accepting new patients
Suman Ramakumar DDS Inc General Practice Past Accepting new patients

Locations

122 Saratoga Ave
Ste 100
Santa Clara, CA 95051
Phone (408) 317-7292

1171 Homestead Rd
Ste 175
Santa Clara, CA 95050
Phone (408) 247-2612

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1144369299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SARATOGA AVE STE 100",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517384",
            "telephone_number": "408-247-2612",
            "fax_number": "408-947-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SARATOGA AVE STE 100",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517384",
            "telephone_number": "408-317-7297",
            "fax_number": "408-947-8204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Homestead Rd",
            "address_2": "175",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950505478",
            "country_code": "US",
            "telephone_number": "408-247-2612",
            "fax_number": "408-947-8204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAKUMAR",
        "first_name": "SUMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.