Chrissorne Rameau, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

28759 Issued in TX

Practice address

4901 E 42ND St
Odessa, TX 79762-7241

Phone

(432) 272-6995

NPI assigned

Apr 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1275824880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 EAST 42ND STREET",
            "address_2": "N/A",
            "city": "ODESSA,",
            "state": "TX",
            "postal_code": "79763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E 42ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627241",
            "telephone_number": "432-272-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEAU",
        "first_name": "CHRISSORNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60325",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raja Naidu MD PA
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• Ram Kolluru,M.D.PA
• Chittur Viswanathan Ramanathan, M.D.
• Avinesh Ramesh, MB BCH BAO
• Ramirez Dietitian Services LLC
• Adrian Ramirez Jr., FNP
• Daniel Ramirez, RD
• Diana Molinar Ramirez, M.S.,CCC-SLP

• Dentist in Odessa, TX
• Providers in Odessa, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.

Verify at the official NPI Registry.