Ilaya Ramanan Rajagopal, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

LL520 Issued in MD

Practice address

24 N Walnut St
Hagerstown, MD 21740-4738

Phone

(301) 393-3447

Fax

(301) 393-3463

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: irajagopal1514@direct.umm.edu
• Direct secure messaging: irojagopal287633@direct.wvuhsdirect.com

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.

• WV Pediatric Dentistry PLLC

  dba WV Pediatric Dentistry

  • Pediatric Dentistry
  • Martinsburg, WV
  • NPI 1427709682
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871625954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N WALNUT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404738",
            "telephone_number": "301-393-3447",
            "fax_number": "301-393-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N WALNUT ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404738",
            "telephone_number": "301-393-3447",
            "fax_number": "301-393-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "ILAYA",
        "middle_name": "RAMANAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "LL520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC REG CERT NO",
            "identifier": "LL520",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Anne Racey Brady, LPC
• Michael G Radley, M.D.
• Sarah Radwani, DPT
• Kendi Em Raeke, LGPC
• Marybeth Raidt
• Olukayode B Raji
• Malvi Rajput
• Mohindra Ramphal, OD
• Caitlyn Paige Ramsey, COTA/L
• Rhonda Ramsey

• Pediatric Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.