Ramakumar Suryadevara, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34914 Issued in NY

Practice address

501 S Main St
North Syracuse, NY 13212-2813

Phone

(315) 452-1020

Fax

(315) 410-1696

NPI assigned

Jul 5, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Ramakumar Suryadevara

  • Dentist
  • N Syracuse, NY
  • NPI 1174615744
  NPD (past) Authorized official
• Atwal Sleep & Wellness LLC

  • Customized Equipment (DME)
  • N Syracuse, NY
  • NPI 1902442858
  NPD (past)

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1609216696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122813",
            "telephone_number": "315-452-1020",
            "fax_number": "315-410-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122813",
            "telephone_number": "315-452-1020",
            "fax_number": "315-410-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYADEVARA",
        "first_name": "RAMAKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "34914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elena Stiglmeier, MD
• Jaclyn Suzanne Storto, MS SPEC ED CF-SLP
• Suburban Health Services Inc
• Johanna Xia Sulesky, PHARMD
• Sunder M Iqbal MD PC
• Gregory Brendon Sweeney, D.D.S.
• Lauren Sweeney, M.S., OTR/L
• Timothy Patrick Sweet, D.M.D.
• Krista Switzer, FNP
• Syracuse Orthopedic Specialists, PLLC

• All providers in North Syracuse, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.