Individual provider Active NPI

Ravisher Singh, DMD, MDS

  • Endodontics
  • Austin, TX
National Provider Identifier
1164785952
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
29874 Issued in TX
Practice address
10710 Research Blvd
Ste 302
Austin, TX 78759-5798
Phone
(512) 568-3560
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15076 MD
Endodontics 1223E0200X 29874 TX Primary

Addresses

Primary practice location

10710 Research Blvd
Ste 302
Austin, TX 78759-5798

Mailing address

10710 Research Blvd
Ste 302
Austin, TX 78759-5798
Phone (301) 906-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161010001635 TX Order and Referring Only - DentistPractitioner - Dentist 8426346354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29874TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1164785952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 RESEARCH BLVD",
            "address_2": "STE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595798",
            "telephone_number": "301-906-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 RESEARCH BLVD",
            "address_2": "STE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595798",
            "telephone_number": "512-568-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RAVISHER",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15076",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "29874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.