Active NPI
Rupa Hamal, D.M.D.
- Periodontics
- Gahanna, OH
National Provider Identifier
1235125774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21629
- Practice address
- 1329 Cherry Way Dr Ste 100
Gahanna, OH 43230-6780 - Phone
- (161) 447-8334
- Fax
- (614) 478-3345
- NPI assigned
- Sep 20, 2005
- 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 | 21629 | OH | Primary |
Addresses
Primary practice location
1329 Cherry Way Dr Ste 100
Gahanna, OH 43230-6780
Mailing address
1329 Cherry Way Dr
Ste 100
Gahanna, OH 43230-6780
Phone (614) 532-8755
Other practice location 1
110 S Tippecanoe Dr
Tipp City, OH 45371-1140
Phone (937) 667-7947
Other practice location 2
110 S Tippecanoe Dr
Tipp City, OH 45371-1140
Phone (937) 667-7947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20190712002591 | TX | Order and Referring Only - Dentist | 2769457092 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21629 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235125774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 CHERRY WAY DR",
"address_2": "STE 100",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306780",
"telephone_number": "614-532-8755",
"fax_number": "614-532-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 CHERRY WAY DR STE 100",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306780",
"telephone_number": "161-447-8334",
"fax_number": "614-478-3345"
}
],
"practiceLocations": [
{
"address_1": "110 S Tippecanoe Dr",
"address_purpose": "LOCATION",
"city": "Tipp City",
"state": "OH",
"postal_code": "453711140",
"country_code": "US",
"telephone_number": "937-667-7947",
"fax_number": "240-220-7701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S Tippecanoe Dr",
"address_purpose": "LOCATION",
"city": "Tipp City",
"state": "OH",
"postal_code": "453711140",
"country_code": "US",
"telephone_number": "937-667-7947",
"fax_number": "240-220-7701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMAL",
"first_name": "RUPA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "21629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.