Individual provider Active NPI

Dillon Naresh Rama, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1245809078
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25975 Issued in FL
Practice address
5200 N Armenia Ave
Tampa, FL 33603-1408
Phone
(813) 876-6930
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25975 FL Primary

Addresses

Primary practice location

5200 N Armenia Ave
Tampa, FL 33603-1408

Mailing address

15301 Crystal Springs Way
Louisville, KY 40245-5295
Phone (502) 794-5690

Other practice location 1

15301 Crystal Springs Way
Louisville, KY 40245-5295
Phone (502) 794-5690

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
DN25975FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1245809078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 CRYSTAL SPRINGS WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455295",
            "telephone_number": "502-794-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031408",
            "telephone_number": "813-876-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15301 Crystal Springs Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402455295",
            "country_code": "US",
            "telephone_number": "502-794-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMA",
        "first_name": "DILLON",
        "middle_name": "NARESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.