Individual provider Active NPI

Wascar Alexi Ramirez Sr., DDS

  • Dentist
  • Corona, NY
National Provider Identifier
1861465726
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0484861 Issued in NY
Practice address
10807 Corona Ave
2ND Floor
Corona, NY 11368
Phone
(719) 760-3417
Fax
(718) 760-3417
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0484861 NY Primary

Addresses

Primary practice location

10807 Corona Ave
2ND Floor
Corona, NY 11368

Mailing address

10807 Corona Ave
2ND Floor
Corona, NY 11368-3941
Phone (719) 760-3417

Other identifiers 3

IdentifierTypeStateIssuer
443475OtherNYAETNA DMD
9176820OtherNYDORAL DENTAL IPA OF NY
02010199MedicaidNY

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

LicenseStateTypeSpecialty
0484861NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1861465726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 CORONA AVE",
            "address_2": "2ND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683941",
            "telephone_number": "719-760-3417",
            "fax_number": "718-760-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 CORONA AVE",
            "address_2": "2ND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "719-760-3417",
            "fax_number": "718-760-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "WASCAR",
        "middle_name": "ALEXI",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0484861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMD",
            "identifier": "443475",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL IPA OF NY",
            "identifier": "9176820",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.