Organization Active NPI

Theyyar Rajan D.D.S,P.a

  • Dentist
  • Naples, FL
National Provider Identifier
1700099116
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THEYYAR RAJAN D.D.S,P.A
Practice address
1949 Isla de Palma Cir
Naples, FL 34119-3403
Phone
(239) 594-2012
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. Theyyar Rangarajan, D.D.S
Title
President
Phone
(239) 594-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X FL Primary

Addresses

Primary practice location

1949 Isla de Palma Cir
Naples, FL 34119-3403

Mailing address

1949 Isla de Palma Cir
Naples, FL 34119-3403
Phone (239) 594-2012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1700099116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 ISLA DE PALMA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193403",
            "telephone_number": "239-594-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 ISLA DE PALMA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193403",
            "telephone_number": "239-594-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEYYAR RAJAN D.D.S,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "RANGARAJAN",
        "authorized_official_first_name": "THEYYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-594-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.