Organization Active NPI

Ramesh a.M.Gowda, DDS, Inc.

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1174617534
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27139 Issued in CA
Legal business name
RAMESH A.M.GOWDA, DDS, INC.
Doing business as
Golden State Dental Group
Practice address
532 W Lincoln Ave
Anaheim, CA 92805-2533
Phone
(714) 774-6281
Fax
(714) 774-6707
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Ramesh A.M. Gowda, D.D.SNPI 1205026515
Title
President
Phone
(714) 774-6281

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27139 CA Primary

Addresses

Primary practice location

532 W Lincoln Ave
Anaheim, CA 92805-2533

Mailing address

532 W Lincoln Ave
Anaheim, CA 92805-2533
Phone (714) 774-6281

Other names 1

  • Golden State Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

532 W Lincoln Ave
Anaheim, CA 92805
Phone (714) 774-6281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1174617534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052533",
            "telephone_number": "714-774-6281",
            "fax_number": "714-774-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052533",
            "telephone_number": "714-774-6281",
            "fax_number": "714-774-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESH A.M.GOWDA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "A.M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-774-6281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.