Ravinder K Gampa DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

21233 Issued in OH

Legal business name

RAVINDER K GAMPA DDS INC

Practice address

5515 Springboro Pike
West Carrollton, OH 45449

Phone

(937) 294-0468

Fax

(937) 294-4266

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Ravinder K Gampa, DDSNPI 1942377460

Title

President

Phone

(937) 294-0468

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Carrollton Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravinder K Gampa, DBS

  • General Practice Dentistry
  • West Carrollton, OH
  • NPI 1942377460
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1497938112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 SPRINGBORO PIKE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "45449",
            "telephone_number": "937-294-0468",
            "fax_number": "937-294-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 SPRINGBORO PIKE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "45449",
            "telephone_number": "937-294-0468",
            "fax_number": "937-294-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER K GAMPA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "GAMPA",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-294-0468",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Carrollton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Poe, MA, CCC-SLP
• Misty Potts, CDCA171568
• Ashley Powell
• Dely Michele Princess-Moore
• Rachel & Friends, Inc.
• Samya Reeder
• Regardien
• Arianne Relliford, LISW-S
• Gwendolyn Yvonne Reynolds, LSW
• Allen Richardson

• Dentist in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.