Rupa T Rajanna, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28656 Issued in TX

Practice address

6700 W Gate Blvd Ste 103
Austin, TX 78745-4867

Phone

(512) 440-1333

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aishani Dental PLLC Dba Austin Primary Dental

  • General Practice Dentistry
  • Austin, TX
  • NPI 1811634561
  NPD Authorized official
• Austin Primary Dental Inc

  • Dentist
  • Austin, TX
  • NPI 1497991210
  NPD (past)

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1609116748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 GAILLARDIA",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787335760",
            "telephone_number": "512-705-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W GATE BLVD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454867",
            "telephone_number": "512-440-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANNA",
        "first_name": "RUPA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordana A Raiskin, L.C.S.W.
• Raj Dental Inc
• Veena Raj
• Carolsun Samuel Rajan, DO
• Subramaniyam Rajan, M.D.
• Nitin Uddaraju Raju, D.D.S.
• Sunil Chandra Raju
• Mora Rak
• Hannah Rakestraw, LCSW
• Elizabeth Rakun

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.

Verify at the official NPI Registry.