Active NPI
Rashmi Ganesh
- Periodontics
- Ashburn, VA
National Provider Identifier
1194258095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401415538
- Practice address
- 23371 Bymes Mill Ter
Ashburn, VA 20148-8112 - Phone
- (716) 380-3075
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401415538 | VA | Primary |
Addresses
Primary practice location
23371 Bymes Mill Ter
Ashburn, VA 20148-8112
Mailing address
23371 Bymes Mill Ter
Ashburn, VA 20148-8112
Phone (716) 380-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20181229000089 | VA | Order and Referring Only - Dentist | 3173868718 |
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": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1194258095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23371 BYMES MILL TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201488112",
"telephone_number": "716-380-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23371 BYMES MILL TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201488112",
"telephone_number": "716-380-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANESH",
"first_name": "RASHMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401415538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.