Individual provider Active NPI

Ruppage Dona Shamila Manik Rupasinghe

  • General Practice Dentistry
  • Stone Mountain, GA
National Provider Identifier
1528802980
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123429 Issued in GA
Practice address
1234 S Hairston Rd Ste 28
Stone Mountain, GA 30088-2766
Phone
(347) 208-6182
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 DN123429 GA Primary

Addresses

Primary practice location

1234 S Hairston Rd Ste 28
Stone Mountain, GA 30088-2766

Mailing address

1234 S Hairston Rd Ste 28
Stone Mountain, GA 30088-2766
Phone (347) 208-6182

Other names 1

  • Shamila M Rupasinghe Other name

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
DN123429GAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: ruppage.rupasinghe.p1@direct.smcmed.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1528802980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S HAIRSTON RD STE 28",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882766",
            "telephone_number": "347-208-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S HAIRSTON RD STE 28",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882766",
            "telephone_number": "347-208-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPASINGHE",
        "first_name": "RUPPAGE",
        "middle_name": "DONA SHAMILA MANIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMILA",
            "last_name": "RUPASINGHE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.