Individual provider Active NPI

Ranjivendra Nath, DDS

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1669477931
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46304 Issued in CA
Practice address
1855 E Colorado Blvd
Pasadena, CA 91107-3554
Phone
(626) 404-0801
Fax
(626) 603-2762
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X 46304 CA
General Practice Dentistry 1223G0001X 46304 CA Primary

Addresses

Primary practice location

1855 E Colorado Blvd
Pasadena, CA 91107-3554

Mailing address

1855 E Colorado Blvd
Pasadena, CA 91107-3554
Phone (626) 404-0801

Other practice location 1

766 N Lake Ave
Pasadena, CA 91104-4557
Phone (626) 808-1717

Other names 1

  • Dr. Ranju Nath Other name

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
46304CAMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ranjivendra Nath DDS Inc General Practice CurrentSince Sep 13, 2020 Accepting new patients
Ranjivendra Nath DDS Inc General Practice Current Accepting new patients

Locations

766 N Lake Ave
Pasadena, CA 91104
Phone (626) 808-1717

1855 E Colorado Blvd
Pasadena, CA 91107
Phone (626) 404-0801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1669477931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073554",
            "telephone_number": "626-404-0801",
            "fax_number": "626-603-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073554",
            "telephone_number": "626-404-0801",
            "fax_number": "626-603-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 N Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911044557",
            "country_code": "US",
            "telephone_number": "626-808-1717",
            "fax_number": "626-808-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATH",
        "first_name": "RANJIVENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "46304",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANJU",
            "last_name": "NATH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.