Active NPI
Kampa Raju, DMD
- Dentist
- Naples, FL
National Provider Identifier
1447709720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21935
- Practice address
- 8125 Gerbera Dr
Apt 11107
Naples, FL 34113-9025 - Phone
- (352) 214-6560
- NPI assigned
- Sep 27, 2016
- Last updated
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21935 | FL | Primary |
Addresses
Primary practice location
8125 Gerbera Dr
Apt 11107
Naples, FL 34113-9025
Mailing address
8125 Gerbera Dr
Apt 11107
Naples, FL 34113-9025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21935 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekadanta Dental PLLC | Current | Accepting new patients |
Locations
5330 SW College Rd
Ste 1
Ocala, FL 34474
Phone (352) 229-8984
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1447709720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8125 GERBERA DR",
"address_2": "APT 11107",
"city": "NAPLES",
"state": "FL",
"postal_code": "341139025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8125 GERBERA DR",
"address_2": "APT 11107",
"city": "NAPLES",
"state": "FL",
"postal_code": "341139025",
"telephone_number": "352-214-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "KAMPA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.