Active NPI
Shwetha Ramanathan, DDS
- Dentist
- Austin, TX
National Provider Identifier
1215657465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38961
- Practice address
- 4410 E Riverside Dr Ste 150
Austin, TX 78741-4759 - Phone
- (512) 256-8754
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38961 | TX | Primary |
Addresses
Primary practice location
4410 E Riverside Dr Ste 150
Austin, TX 78741-4759
Mailing address
8717 Blaze Dr
Austin, TX 78747-3730
Phone (468) 286-7992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38961 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Kyle PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Kyle, TX
- NPI 1578912630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1215657465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 BLAZE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787473730",
"telephone_number": "468-286-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 E RIVERSIDE DR STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787414759",
"telephone_number": "512-256-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMANATHAN",
"first_name": "SHWETHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Jagadheeswari Nonesupplied Ramachandran, MD
- Kari Ramachandran, MOT, LOT
- Aravind Ramakrishnan, M.D.
- Mause De Castro Ramalho, MD
- Anish Venkat Raman, M.D.
- Jana T Ramchander, MSW
- Maria Adriana Ramirez Campos
- Andrea Ramirez Cristoforo, BCBA-D
- Maria Fernanda Ramirez Perez
- Christina Esther Ramirez-Ibarra, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.