Active NPI
Mohini Ratakonda
- Dentist
- Buffalo, NY
National Provider Identifier
1851179634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000150-01
- Practice address
- 3435 Main St
Buffalo, NY 14214-3001 - Phone
- (716) 829-3847
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418651 | VA | |
| Dentist | 122300000X | 000150-01 | NY | Primary |
Addresses
Primary practice location
3435 Main St
Buffalo, NY 14214-3001
Mailing address
240 Squire Hall
Buffalo, NY 14214-8006
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 |
|---|---|---|---|
| 000150-01 | NY | MD | Dentist |
| 0401418651 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1851179634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 SQUIRE HALL",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142143001",
"telephone_number": "716-829-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATAKONDA",
"first_name": "MOHINI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418651",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "000150-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.