Active NPI
Lokesh C. Rao, D.D.S.
- Dentist
- Yonkers, NY
National Provider Identifier
1194039362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054821
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126002202 | NY | Order and Referring Only - Oral Surgery | 0244533172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054821 | NY | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.