Active NPI
Gene Michael Ranieri, DDS
- Dentist
- Highland, IN
National Provider Identifier
1558486282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12008665A
- Practice address
- 9105 A Indianapolis Blvd
Highland, IN 46322 - Phone
- (219) 838-6500
- Fax
- (219) 838-1057
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12008665A | IN | Primary |
| Dentist | 122300000X | 05128 | OR | |
| Dentist | 122300000X | IL |
Addresses
Primary practice location
9105 A Indianapolis Blvd
Highland, IN 46322
Mailing address
707 Killarney Drive
Dyer, IN 46311
Phone (219) 322-0743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151030001231 | IN | Order and Referring Only - Oral Surgery | 3678753407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019015150 | IL | MD | Dentist |
| 05128 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558486282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 KILLARNEY DRIVE",
"city": "DYER",
"state": "IN",
"postal_code": "46311",
"telephone_number": "219-322-0743",
"fax_number": "219-322-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 A INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "46322",
"telephone_number": "219-838-6500",
"fax_number": "219-838-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANIERI",
"first_name": "GENE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12008665A",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "05128",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.