Individual provider Active NPI

Ramesh Sean Jagan, D.D.S.

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1376523811
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12393 Issued in MD
Practice address
8121 Georgia Ave
Suite 200
Silver Spring, MD 20910-4933
Phone
(301) 585-7100
Fax
(301) 585-0914
NPI assigned
Jan 19, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12393 MD Primary

Addresses

Primary practice location

8121 Georgia Ave
Suite 200
Silver Spring, MD 20910-4933

Mailing address

8121 Georgia Ave Ste 200
Silver Spring, MD 20910-4933
Phone (301) 585-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160215000162 MD Order and Referring Only - DentistPractitioner - Dentist 6406150390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12393MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1376523811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104933",
            "telephone_number": "301-585-7100",
            "fax_number": "301-585-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104933",
            "telephone_number": "301-585-7100",
            "fax_number": "301-585-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGAN",
        "first_name": "RAMESH",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.