Active NPI
Rajesh Devisetti, DDS
- General Practice Dentistry
- Aurora, OH
National Provider Identifier
1700218393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.024053
- Practice address
- 7455 Market Place Dr
Aurora, OH 44202-8760 - Phone
- (330) 562-2850
- NPI assigned
- Aug 6, 2013
- Last updated
- Mar 17, 2018
- 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 | 30.024053 | OH | Primary |
Addresses
Primary practice location
7455 Market Place Dr
Aurora, OH 44202-8760
Mailing address
PO Box 860036
Minneapolis, MN 55486-1731
Phone (330) 562-2850
Other practice location 1
12160 Montgomery Rd
Cincinnati, OH 45249-1731
Phone (513) 683-5677
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 |
|---|---|---|---|
| 30.024053 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RNK PLLC | General Practice | Current | Accepting new patients |
| Meckler Dental Providers, Inc. | General Practice | Past | Accepting new patients |
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.
-
dba DentalWorks of Bainbridge
- General Practice Dentistry
- Aurora, OH
- NPI 1437342755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700218393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860036",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554861731",
"telephone_number": "330-562-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 MARKET PLACE DR",
"city": "AURORA",
"state": "OH",
"postal_code": "442028760",
"telephone_number": "330-562-2850"
}
],
"practiceLocations": [
{
"address_1": "12160 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452491731",
"country_code": "US",
"telephone_number": "513-683-5677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVISETTI",
"first_name": "RAJESH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.024053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.