Individual provider Active NPI

Tera Pandrangi, D.M.D.

  • Dentist
  • Columbus, OH
National Provider Identifier
1194166157
Registry record updated Jul 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
RES.3351 Issued in OH
Practice address
205 W 12TH Ave
Columbus, OH 43210-1303
Phone
(440) 781-3173
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RES.3351 OH Primary

Addresses

Primary practice location

205 W 12TH Ave
Columbus, OH 43210-1303

Mailing address

720 W 3Rd Ave Apt 310
Columbus, OH 43212-3161
Phone (440) 781-3173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373155200000",
    "number": "1194166157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 3RD AVE APT 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123161",
            "telephone_number": "440-781-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101303",
            "telephone_number": "440-781-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDRANGI",
        "first_name": "TERA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2013-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.