Active NPI
Venkata Ratna Kumar Rudravaram
- General Practice Dentistry
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61319204
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE61319204 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonika Singla, DMD, V, PLLC | Current | Accepting new patients | |
| Sonika Singla, DMD, PLLC | General Practice | Past | Accepting new patients |
| Sonika Singla, DMD, IV, PLLC | Past | 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.
-
- Dentist
- Redmond, WA
- NPI 1710521190
-
- General Practice Dentistry
- Kent, WA
- NPI 1841646700
-
- Dentist
- Lakewood, WA
- NPI 1659049104
-
- General Practice Dentistry
- Burien, WA
- NPI 1073887550
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.