Organization Active NPI

Dr Ramakumar Suryadevara

  • Dentist
  • N Syracuse, NY
National Provider Identifier
1174615744
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34914 Issued in NY
Legal business name
DR RAMAKUMAR SURYADEVARA
Practice address
501 S Main St
N Syracuse, NY 13212
Phone
(315) 452-1020
Fax
(315) 410-1069
NPI assigned
Sep 29, 2006
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Ramakumar SuryadevaraNPI 1609216696
Title
DDS
Phone
(315) 452-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 34914 NY Primary

Addresses

Primary practice location

501 S Main St
N Syracuse, NY 13212

Mailing address

501 S Main St
N Syracuse, NY 13212
Phone (315) 452-1020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1174615744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-452-1020",
            "fax_number": "315-410-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-452-1020",
            "fax_number": "315-410-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAMAKUMAR SURYADEVARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SURYADEVARA",
        "authorized_official_first_name": "RAMAKUMAR",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "315-452-1020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "34914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.