Individual provider Active NPI

Hira Rana, DMD

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1396103537
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015118 Issued in GA
Practice address
1721 Powder Springs Rd SW
Suite 103
Marietta, GA 30064-4879
Phone
(770) 293-0605
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015118 GA
General Practice Dentistry 1223G0001X DN015118 GA Primary

Addresses

Primary practice location

1721 Powder Springs Rd SW
Suite 103
Marietta, GA 30064-4879

Mailing address

1721 Powder Springs Rd SW
Suite 103
Marietta, GA 30064-4879
Phone (770) 293-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160315001491 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870899081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015118GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1396103537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 POWDER SPRINGS RD SW",
            "address_2": "SUITE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644879",
            "telephone_number": "770-293-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 POWDER SPRINGS RD SW",
            "address_2": "SUITE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644879",
            "telephone_number": "770-293-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "HIRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015118",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.