Individual provider Active NPI

Alphonse-Leander Neri Ramos, D.D.S.

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1659718443
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62355 Issued in CA
Practice address
1635 Pleasant St
Redding, CA 96001-2330
Phone
(510) 861-6697
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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 62355 CA Primary

Addresses

Primary practice location

1635 Pleasant St
Redding, CA 96001-2330

Mailing address

1635 Pleasant St
Redding, CA 96001-2330
Phone (510) 861-6697

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150331002409 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9931426988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62355CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1659718443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 PLEASANT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012330",
            "telephone_number": "510-861-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 PLEASANT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012330",
            "telephone_number": "510-861-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ALPHONSE-LEANDER",
        "middle_name": "NERI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.