Active NPI
Raksha Mirchandani
- Endodontics
- Ellicott City, MD
National Provider Identifier
1245416890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 13446
- Practice address
- 5072 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7845 - Phone
- (410) 997-7668
- Fax
- (410) 992-7668
- NPI assigned
- Jan 14, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 13446 | MD | Primary |
Addresses
Primary practice location
5072 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7845
Mailing address
5072 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7845
Phone (410) 997-7668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
600 N Wolfe St
#266
Baltimore, MD 21287
Phone (410) 502-4340
600 N Wolfe St
Baltimore, MD 21287
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1033190442
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1245416890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5072 DORSEY HALL DR STE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427845",
"telephone_number": "410-997-7668",
"fax_number": "410-992-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 DORSEY HALL DR STE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427845",
"telephone_number": "410-997-7668",
"fax_number": "410-992-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRCHANDANI",
"first_name": "RAKSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "13446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.