Individual provider Active NPI

Adriatik Rama, DDS

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1598729907
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5861 Issued in AZ
Practice address
1166 S Gilbert Rd
Suite 117
Gilbert, AZ 85296-3460
Phone
(480) 888-8095
Fax
(480) 888-8095
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5861 AZ Primary

Addresses

Primary practice location

1166 S Gilbert Rd
Suite 117
Gilbert, AZ 85296-3460

Mailing address

1166 S Gilbert Rd
Suite 117
Gilbert, AZ 85296-3460
Phone (480) 888-8095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161019001398 AZ Order and Referring Only - DentistPractitioner - Dentist 8820386162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5861AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anthem Dentistry LLC Dentist Past Accepting new patients
Fulcher Dental PLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1598729907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 S GILBERT RD",
            "address_2": "SUITE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963460",
            "telephone_number": "480-888-8095",
            "fax_number": "480-888-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 S GILBERT RD",
            "address_2": "SUITE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963460",
            "telephone_number": "480-888-8095",
            "fax_number": "480-888-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMA",
        "first_name": "ADRIATIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.