Individual provider Active NPI

Venkata Ratna Kumar Rudravaram

  • General Practice Dentistry
  • Redmond, WA
National Provider Identifier
1699402354
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61319204 Issued in WA
Practice address
15446 Bel Red Rd Ste 400
Redmond, WA 98052-5505
Phone
(425) 647-4318
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 DE61319204 WA Primary

Addresses

Primary practice location

15446 Bel Red Rd Ste 400
Redmond, WA 98052-5505

Mailing address

15446 Bel Red Rd Ste 400
Redmond, WA 98052-5505
Phone (425) 647-4318

Other practice location 1

2202 84th St S
Lakewood, WA 98499-9025
Phone (425) 647-4318

Other practice location 2

25022 104th Ave SE Ste B
Kent, WA 98030-2822
Phone (425) 647-4318

Other practice location 3

14212 Ambaum Blvd SW Ste 1
Burien, WA 98166-1437
Phone (425) 647-4318

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
DE61319204WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sonika Singla, DMD, V, PLLC CurrentSince Aug 7, 2022 Accepting new patients
Sonika Singla, DMD, PLLC General Practice Past Accepting new patients
Sonika Singla, DMD, IV, PLLC PastSince Sep 5, 2021 Accepting new patients
Sonika Singla DMD Kent PLLC General Practice Past Accepting new patients

Locations

15446 Bel Red Rd
Ste 400
Redmond, WA 98052
Phone (425) 558-9998

Organizations & group practices 4

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1699402354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE 400",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525505",
            "telephone_number": "425-647-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE 400",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525505",
            "telephone_number": "425-647-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 84th St S",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984999025",
            "country_code": "US",
            "telephone_number": "425-647-4318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25022 104th Ave SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980302822",
            "country_code": "US",
            "telephone_number": "425-647-4318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14212 Ambaum Blvd SW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661437",
            "country_code": "US",
            "telephone_number": "425-647-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDRAVARAM",
        "first_name": "VENKATA RATNA KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61319204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.