Individual provider Active NPI

Remya Niranjan

  • Pediatric Dentistry
  • Hilmar, CA
National Provider Identifier
1811278435
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60765 Issued in CA
Practice address
7970 Lander Ave
Hilmar, CA 95324-8350
Phone
(209) 262-1819
Fax
(209) 262-1817
NPI assigned
Sep 9, 2011
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 60765 CA Primary

Addresses

Primary practice location

7970 Lander Ave
Hilmar, CA 95324-8350

Mailing address

46 E Stefano Ave
Tracy, CA 95391-8232
Phone (408) 439-3661

Other names 1

  • Remya Venkitasubramonia Iyer Former name

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
60765CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Remya Niranjan, a Dental Corporation Pediatric Dentistry Current Accepting new patients
Remya Niranjan DDS, Ms, Inc Pediatric Dentistry Current Accepting new patients
Lumira Healthcare Single Specialty Past Accepting new patients

Organizations & group practices 3

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1811278435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E STEFANO AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953918232",
            "telephone_number": "408-439-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 LANDER AVE",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953248350",
            "telephone_number": "209-262-1819",
            "fax_number": "209-262-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRANJAN",
        "first_name": "REMYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMYA",
            "last_name": "VENKITASUBRAMONIA IYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.