Active NPI
Sasankoti Mohan Ravi Prakash, DMD
- Dentist
- Mora, NM
National Provider Identifier
1346970613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DB-2025-0027
- Practice address
- PO Box 209
Mora, NM 87732-0209 - Phone
- (505) 429-3999
- NPI assigned
- Jun 10, 2022
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DB-2025-0027 | NM | Primary |
Addresses
Primary practice location
PO Box 209
Mora, NM 87732-0209
Mailing address
PO Box 209
Mora, NM 87732-0209
Phone (505) 429-3999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022020817 | MO | MD | Dentist |
| 10463 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1346970613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "MORA",
"state": "NM",
"postal_code": "877320209",
"telephone_number": "505-429-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "MORA",
"state": "NM",
"postal_code": "877320209",
"telephone_number": "505-429-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI PRAKASH",
"first_name": "SASANKOTI MOHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DB-2025-0027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mora, NM
- Mora Valley Community Health Services, Inc (Mora Valley Community Health Services, Inc Cardid de San Antonio Home)
- Mora Valley Community Health Services, Inc.
- Mora Valley Community Health Services, Inc.
- Northeast Regional Education Cooperative
- Oasis Therapy, LLC
- Teresa Katherine Elaine Smith de Cherif, M.D., M.I.A.
- Bianca Valdez, RDH
- Vicki K Stiles LPCC
- Susan Ernestine Vigil, LADAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.