Organization Active NPI

Ravi Ganesh DDS PA

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1245314822
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7424 Issued in MD
Legal business name
RAVI GANESH DDS PA
Practice address
5403 Queens Chapel Road
Hyattsville, MD 20782-3902
Phone
(301) 927-5960
Fax
(301) 927-8498
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Ravi Chand Ganesh, DDSNPI 1336382779
Title
Dentist Owner
Phone
(301) 927-5960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7424 MD Primary

Addresses

Primary practice location

5403 Queens Chapel Road
Hyattsville, MD 20782-3902

Mailing address

5403 Queens Chapel Road
Hyattsville, MD 20782-3902
Phone (301) 927-5960

National Provider Directory

National Provider Directory

Locations

5403 Queens Chapel Rd
Hyattsville, MD 20782
Phone (301) 927-5960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1245314822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 QUEENS CHAPEL ROAD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823902",
            "telephone_number": "301-927-5960",
            "fax_number": "301-927-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 QUEENS CHAPEL ROAD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823902",
            "telephone_number": "301-927-5960",
            "fax_number": "301-927-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI GANESH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "CHAND",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "301-927-5960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.