Hetesh Madev Ranchod, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011401 Issued in GA

Practice address

683 Piedmont Rd NE
Marietta, GA 30066-4811

Phone

(770) 794-0808

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Hetesh Mahadev Ranchhodjee Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Centers of Marietta, P.C.

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1396864237
  NPD (past) Authorized official
• Health Check Primary Care and Wellness LLC

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1013722099
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1477608362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664811",
            "telephone_number": "770-794-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664811",
            "telephone_number": "770-794-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2769 Chastain Meadows Pkwy",
            "address_2": "Suite #70",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663369",
            "country_code": "US",
            "telephone_number": "770-794-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANCHOD",
        "first_name": "HETESH",
        "middle_name": "MADEV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000683229B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HETESH",
            "last_name": "RANCHHODJEE",
            "middle_name": "MAHADEV",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reba Anntoinette Ramsey-Young, STNA
• Alexandria Ramsey, RBT
• Victoria Ramsey, LPC
• Hira Rana, DMD
• Allyson Ranches, D.C.
• Caroline Mary Randall, PHARM.D.
• Tara Randall
• Karen Elaine Randol, D.C.
• Raul K Randolph, LMT
• Ryan Ranells, FNP-BC

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.