Individual provider Active NPI

Sihana Rugova, DDS, MSC

  • General Practice Dentistry
  • Hope Valley, RI
National Provider Identifier
1346788536
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103322 Issued in CA
Practice address
823 Main St
Hope Valley, RI 02832-1920
Phone
(401) 539-2461
NPI assigned
Feb 7, 2017
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 103322 CA Primary

Addresses

Primary practice location

823 Main St
Hope Valley, RI 02832-1920

Mailing address

823 Main St
Hope Valley, RI 02832-1920
Phone (401) 539-2461

Other practice location 1

400 Community Dr
Manhasset, NY 11030-3815
Phone (718) 470-4120

Other practice location 2

20800 Sherman Way
Winnetka, CA 91306-2707
Phone (818) 710-5229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20210128000710 RI Order and Referring Only - DentistPractitioner - Dentist 1759795073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103322CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1346788536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303815",
            "country_code": "US",
            "telephone_number": "718-470-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20800 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "CA",
            "postal_code": "913062707",
            "country_code": "US",
            "telephone_number": "818-710-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGOVA",
        "first_name": "SIHANA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Valley, RI

Sources for this page

Verify at the official NPI Registry.