Individual provider Active NPI

Rana Muneeruddin, DDS

  • General Practice Dentistry
  • Franklin Square, NY
National Provider Identifier
1225157688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045046 Issued in NY
Practice address
73 Franklin Ave
Franklin Square, NY 11010-2523
Phone
(516) 488-8261
Fax
(516) 887-5715
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045046 NY Primary

Addresses

Primary practice location

73 Franklin Ave
Franklin Square, NY 11010-2523

Mailing address

73 Franklin Ave
Franklin Square, NY 11010
Phone (516) 488-8261

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

LicenseStateTypeSpecialty
045046NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225157688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "11010",
            "telephone_number": "516-488-8261",
            "fax_number": "516-887-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102523",
            "telephone_number": "516-488-8261",
            "fax_number": "516-887-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNEERUDDIN",
        "first_name": "RANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.