Active NPI
Dr Ramakumar Suryadevara
- Dentist
- N Syracuse, NY
National Provider Identifier
1174615744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34914
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Ramakumar Suryadevara
- 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.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- North Syracuse, NY
- NPI 1609216696
-
- Dentist
- North Syracuse, NY
- NPI 1346579612
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34914 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 S Main St
N Syracuse, NY 13212
Mailing address
501 S Main St
N Syracuse, NY 13212
Phone (315) 452-1020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2013.
{
"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.