Individual provider Active NPI

Shacha Mare Ramirez, RDH

  • Dental Hygienist
  • Greenville, TX
National Provider Identifier
1558844035
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
18224 Issued in TX
Practice address
3005 Joe Ramsey Blvd E Ste a
Greenville, TX 75401-7776
Phone
(903) 455-4458
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 18224 TX Primary

Addresses

Primary practice location

3005 Joe Ramsey Blvd E Ste a
Greenville, TX 75401-7776

Mailing address

1833 Castle Dr
Garland, TX 75040-5408
Phone (817) 965-5550

Other practice location 1

3005 Joe Ramsey Blvd E Ste A
Greenville, TX 75401-7776
Phone (903) 455-4458 ext. 6985

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
18224TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1558844035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 CASTLE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405408",
            "telephone_number": "817-965-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 JOE RAMSEY BLVD E STE A",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017776",
            "telephone_number": "903-455-4458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 Joe Ramsey Blvd E Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017776",
            "country_code": "US",
            "telephone_number": "903-455-4458 x6985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "SHACHA",
        "middle_name": "MARE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "18224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.