Active NPI
Rani Samyuktha Devabhaktuni
- Dentist
- Pickerington, OH
National Provider Identifier
1891517066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.028034
- Practice address
- 164 Clint Dr
Pickerington, OH 43147-7994 - Phone
- (732) 610-6764
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 30.028034 | OH | Primary |
Addresses
Primary practice location
164 Clint Dr
Pickerington, OH 43147-7994
Mailing address
164 Clint Dr
Pickerington, OH 43147-7994
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 |
|---|---|---|---|
| 30.028034 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1891517066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 CLINT DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431477994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 CLINT DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431477994",
"telephone_number": "732-610-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVABHAKTUNI",
"first_name": "RANI SAMYUKTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2025-05-24",
"certification_date": "2025-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.028034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.