NPIMap

Organization Active NPI

Dentists of Lakeland, PA

Doing business as Dentists of Lakeland

  • Dentist
  • Lakeland, FL
National Provider Identifier
1407344435
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTISTS OF LAKELAND, PA
Doing business as
Dentists of Lakeland
Practice address
3700 US Highway 98 N Ste 105
Lakeland, FL 33809-3809
Phone
(863) 225-4585
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Ganesh Rajagopalan, DDS
Title
Owner/DDS
Phone
(863) 225-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3700 US Highway 98 N Ste 105
Lakeland, FL 33809-3809

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8280

Other names 1

  • Dentists of Lakeland Doing business as

National Provider Directory

National Provider Directory

Locations

3700 US Highway 98 N
Unit 105
Lakeland, FL 33809
Phone (863) 225-4585

Practitioners & affiliated clinicians

Practitioners 5

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": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1407344435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 US HIGHWAY 98 N STE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093809",
            "telephone_number": "863-225-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF LAKELAND, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "RAJAGOPALAN",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "863-225-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.