Organization Active NPI

Roshen G Ganesh, DDS, PDD, Inc

  • General Practice Dentistry
  • Santa Monica, CA
National Provider Identifier
1376828327
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60928 Issued in CA
Legal business name
ROSHEN G GANESH, DDS, PDD, INC
Practice address
1551 Ocean Ave
Suite 260
Santa Monica, CA 90401
Phone
(310) 458-4000
Fax
(310) 458-4003
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Ramiro Ganesh, D.D.S.NPI 1538443163
Title
Dental Associate
Phone
(310) 745-6062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60928 CA Primary

Addresses

Primary practice location

1551 Ocean Ave
Suite 260
Santa Monica, CA 90401

Mailing address

1551 Ocean Ave
Suite 260
Santa Monica, CA 90401
Phone (310) 458-4000

Other names 1

  • Santa Monica Esthetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1551 Ocean Ave
Ste 260
Santa Monica, CA 90401
Phone (310) 395-2345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1376828327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 OCEAN AVE",
            "address_2": "SUITE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90401",
            "telephone_number": "310-458-4000",
            "fax_number": "310-458-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 OCEAN AVE",
            "address_2": "SUITE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90401",
            "telephone_number": "310-458-4000",
            "fax_number": "310-458-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHEN G GANESH, DDS, PDD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_title_or_position": "DENTAL ASSOCIATE",
        "authorized_official_telephone_number": "310-745-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Esthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.