Individual provider Active NPI

Lokesh C. Rao, D.D.S.

  • Dentist
  • Yonkers, NY
National Provider Identifier
1194039362
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054821 Issued in NY
Practice address
1925 Central Park Ave
2ND Floor
Yonkers, NY 10710-2949
Phone
(914) 961-1700
Fax
(914) 961-1799
NPI assigned
Jul 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054821 NY Primary
General Practice Dentistry 1223G0001X 054821 NY

Addresses

Primary practice location

1925 Central Park Ave
2ND Floor
Yonkers, NY 10710-2949

Mailing address

171 E 89TH St
7H
New York, NY 10128-2381
Phone (646) 530-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160126002202 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244533172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054821NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1194039362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E 89TH ST",
            "address_2": "7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282381",
            "telephone_number": "646-530-4722",
            "fax_number": "914-961-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 CENTRAL PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102949",
            "telephone_number": "914-961-1700",
            "fax_number": "914-961-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "LOKESH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054821",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.