Active NPI
Ganesh Rajagopalan, D.D.S
- Dentist
- Zephyrhills, FL
National Provider Identifier
1245667096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20404
- Practice address
- 37039 State Road 54
Zephyrhills, FL 33542-6933 - Phone
- (732) 423-8382
- NPI assigned
- Oct 10, 2013
- Sex
- Male
- 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 | DN20404 | FL | Primary |
Addresses
Primary practice location
37039 State Road 54
Zephyrhills, FL 33542-6933
Mailing address
37039 State Road 54
Zephyrhills, FL 33542-6933
Phone (732) 423-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20190315000836 | FL | Order and Referring Only - Dentist | 8123368818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20404 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1245667096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37039 STATE ROAD 54",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335426933",
"telephone_number": "732-423-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37039 STATE ROAD 54",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335426933",
"telephone_number": "732-423-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAGOPALAN",
"first_name": "GANESH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-10",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zephyrhills, FL
- Ashley Nicole Quillen, OTR/L
- Wajeeha Irfan Qureshi
- R & D Management Services, LLC (Ponds Edge Assisted Living Facility)
- Claudia Kay Rabe Caceres
- Radiant Smiles Pediatric Dentistry, PLLC
- Ramanath S Rao MD PA (Pasco Cardiology Associates)
- Ryan B Ramos
- Ramp It Up, LLC (Mobility Plus Pasco)
- Cara Rand Pricone, P.A.
- Randolph a Knight MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.