Individual provider Active NPI

Pooja Ramnani, DMD

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1528673076
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39220 Issued in TX
Practice address
3610 W University Dr Ste 400
McKinney, TX 75071-2952
Phone
(904) 704-0123
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032883 IL
General Practice Dentistry 1223G0001X 39220 TX Primary

Addresses

Primary practice location

3610 W University Dr Ste 400
McKinney, TX 75071-2952

Mailing address

9611 Custer Rd Apt 2035
Plano, TX 75025-6523
Phone (904) 704-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230427001039 TX Order and Referring Only - DentistPractitioner - Dentist 3072978923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032883ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1528673076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 CUSTER RD APT 2035",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256523",
            "telephone_number": "904-704-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W UNIVERSITY DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712952",
            "telephone_number": "904-704-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMNANI",
        "first_name": "POOJA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032883",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.