Active NPI
Ramon Taguiam Tancioco III, DMD
- Endodontics
- Alexandria, LA
National Provider Identifier
1851883763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7393
- Practice address
- 213 Ansley Blvd
Alexandria, LA 71303-3782 - Phone
- (318) 443-5013
- NPI assigned
- Jun 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857975 | MA | |
| Endodontics | 1223E0200X | DEN.00204361 | CO | |
| Endodontics | 1223E0200X | 7393 | LA | Primary |
Addresses
Primary practice location
213 Ansley Blvd
Alexandria, LA 71303-3782
Mailing address
809 Briarwood Cir
Leesville, LA 71446-9095
Phone (510) 579-4387
Other practice location 1
9450 E Mississippi Ave Unit A
Denver, CO 80247-2427
Phone (720) 463-2766
Other practice location 2
1 Kneeland Street
Endodontics Dept
Boston, MA 02111
Phone (617) 636-6889
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204361 | CO | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor J Caronna DDS LLC | Endodontics | Current | Accepting new patients |
| Daniel G. Lester DDS, PLLC | Endodontics | Current | Accepting new patients |
Locations
213 Ansley Blvd
Alexandria, LA 71303
Phone (318) 443-5013
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 and National Provider Directory roles.
-
- Endodontics
- Alexandria, LA
- NPI 1851146112
-
- Endodontics
- Asheville, NC
- NPI 1861101024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1851883763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BRIARWOOD CIR",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714469095",
"telephone_number": "510-579-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 ANSLEY BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033782",
"telephone_number": "318-443-5013"
}
],
"practiceLocations": [
{
"address_1": "9450 E Mississippi Ave Unit A",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802472427",
"country_code": "US",
"telephone_number": "720-463-2766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kneeland Street",
"address_2": "Endodontics Dept",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02111",
"country_code": "US",
"telephone_number": "617-636-6889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANCIOCO",
"first_name": "RAMON",
"middle_name": "TAGUIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-06",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857975",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00204361",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "7393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.