Individual provider Active NPI

Sanjay S Ramoliya, DDS

  • General Practice Dentistry
  • Seguin, TX
National Provider Identifier
1477868362
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0025827 Issued in TX
Practice address
104 W Cedar St
Seguin, TX 78155-3748
Phone
(830) 379-9310
Fax
(830) 401-0230
NPI assigned
Aug 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0025827 TX Primary

Addresses

Primary practice location

104 W Cedar St
Seguin, TX 78155-3748

Mailing address

104 W Cedar St
Seguin, TX 78155-3748
Phone (830) 379-9310

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

LicenseStateTypeSpecialty
0025827TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1477868362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W CEDAR ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553748",
            "telephone_number": "830-379-9310",
            "fax_number": "830-401-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W CEDAR ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553748",
            "telephone_number": "830-379-9310",
            "fax_number": "830-401-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOLIYA",
        "first_name": "SANJAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.