Individual provider Active NPI

Ramya Subgani, DDS

  • General Practice Dentistry
  • Roswell, NM
National Provider Identifier
1558739599
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD4405 Issued in NM
Practice address
707 1/2 N Pennsylvania Ave
Roswell, NM 88201-4853
Phone
(716) 367-9575
NPI assigned
Sep 8, 2015
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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 DD4405 NM Primary

Addresses

Primary practice location

707 1/2 N Pennsylvania Ave
Roswell, NM 88201-4853

Mailing address

707 1/2 N Pennsylvania Ave
Roswell, NM 88201-4853
Phone (716) 367-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20151027001558 NM Order and Referring Only - DentistPractitioner - Dentist 4284943507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1558739599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 1/2 N PENNSYLVANIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014853",
            "telephone_number": "716-367-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 1/2 N PENNSYLVANIA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014853",
            "telephone_number": "716-367-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBGANI",
        "first_name": "RAMYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.