Individual provider Active NPI

Padma Rageer

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1285018333
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21448 Issued in FL
Practice address
651 Nautica Dr Unit 1
Jacksonville, FL 32218-7222
Phone
(904) 800-4797
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21448 FL Primary

Addresses

Primary practice location

651 Nautica Dr Unit 1
Jacksonville, FL 32218-7222

Mailing address

5424 London Lake Dr
Jacksonville, FL 32258-5397
Phone (313) 613-4009

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209000465 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981913167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21448FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amiable Dental Care LLC CurrentSince Mar 26, 2023 Accepting new patients

Locations

5101 Gate Pkwy
Ste 4
Jacksonville, FL 32256
Phone (904) 998-7707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1285018333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 LONDON LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585397",
            "telephone_number": "313-613-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 NAUTICA DR UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187222",
            "telephone_number": "904-800-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGEER",
        "first_name": "PADMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.