Individual provider Active NPI

Ahsan Raina, D.M.D

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1275912628
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31956 Issued in TX
Practice address
8515 Spring Cypress Rd Ste 103
Spring, TX 77379-3354
Phone
(281) 379-3790
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31956 TX Primary

Addresses

Primary practice location

8515 Spring Cypress Rd Ste 103
Spring, TX 77379-3354

Mailing address

8515 Spring Cypress Rd Ste 103
Spring, TX 77379-3354
Phone (281) 379-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150727002779 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325352966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31956TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1275912628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-379-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "AHSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.