Sundeep Raj Rawal, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN17718 Issued in FL

Practice address

2180 N Courtenay Pkwy
Merritt Island, FL 32953-4236

Phone

(321) 452-3388

Fax

(321) 453-8979

NPI assigned

Sep 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Prosthodontics PA

  • Prosthodontics
  • Merritt Island, FL
  • NPI 1659714095
  NPD (past) Authorized official

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1801120886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534236",
            "telephone_number": "321-452-3388",
            "fax_number": "321-453-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534236",
            "telephone_number": "321-452-3388",
            "fax_number": "321-453-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "SUNDEEP",
        "middle_name": "RAJ",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rai Care Centers of Merritt Island, LLC (Rai - S. Courtenay - Merritt Island)
• Randall B Rigdon LLC
• Karen Rathgeber
• Anna Rittgers Ratkus, D.P.T.
• Raj M Rawal, B.D.S.
• Robert C Rawls
• Theresa Regan
• Diane Marie Reid-Van Asdale, OTR/L, CHT
• Yunileydys Reina
• Rejuvenate With Grace, Inc.

• Prosthodontics in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.