Individual provider Active NPI

Ruchi Ahuja

  • Dentist
  • Springfield, MA
National Provider Identifier
1194200451
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858146 Issued in MA
Practice address
555 State St
Springfield, MA 01109-4140
Phone
(413) 736-0027
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858146 MA Primary

Addresses

Primary practice location

555 State St
Springfield, MA 01109-4140

Mailing address

555 State St
Springfield, MA 01109-4140
Phone (413) 736-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190912001604 MA Order and Referring Only - DentistPractitioner - Dentist 2264761493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858146MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Globus Dental Care Center at Lynn Dentist Past Accepting new patients
Dental Dreams LLC PastSince Mar 16, 2021 Accepting new patients
Union St Family Dental PC Dentist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1194200451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094140",
            "telephone_number": "413-736-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094140",
            "telephone_number": "413-736-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "RUCHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-03-12",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.