Prashanth Ravi, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29763 Issued in TX

Practice address

4007 Woodlawn Ave
Pasadena, TX 77504-1910

Phone

(713) 944-0864

Fax

(713) 944-7737

NPI assigned

Jun 8, 2009

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 21, 2019 through Oct 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Beaumont Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Beaumont, TX
  • NPI 1790199461
  NPD Authorized official
• Ur Smile Dental on Fry Rd PLLC

  dba Asure Dental

  • Dentist
  • Houston, TX
  • NPI 1174230528
  NPD Authorized official
• Ur Smile Dental on Hwy 6 PLLC

  dba Quest Dental

  • Dentist
  • Houston, TX
  • NPI 1194432625
  NPD Authorized official
• Greater Houston Oral and Facial Surgery,PA

  • Ambulatory Surgical Clinic/Center
  • Pasadena, TX
  • NPI 1801288089
  NPD (past) Authorized official
• Edward F Rod Jr, DDS, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beaumont, TX
  • NPI 1366511339
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1356577175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST STE 302",
            "address_2": "SUITE 302",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021831",
            "telephone_number": "409-832-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041910",
            "telephone_number": "713-944-0864",
            "fax_number": "713-944-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Calder St Ste 302",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021831",
            "country_code": "US",
            "telephone_number": "409-832-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "PRASHANTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "29763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info.ghofs@gmail.com",
            "affiliation": "N",
            "address_1": "4007 Woodlawn Ave",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775041910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "manager.ghofs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "protected health information",
            "address_1": "4007 Woodlawn Ave",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775041910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tara Suzanne Ramsay, MD
• David Crow Randall, M.D.
• Linda Court Rasberry
• Keri Lynn Gard Rath, M.D.
• Raul R Garcia, M.D., P.a. (Gulf Region Urology)
• Zohair S Raza, M.D.
• RCMH, LLC
• Redwood Health Corporation
• Tyce Lee Regan, MD
• Regenerative Surgical, LLC (Regenerative Surgical Center)

• Oral and Maxillofacial Surgery (Dentist) in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.