Individual provider Active NPI

Stephanie Ravett, D.M.D.

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1932427176
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
024857 Issued in PA
Practice address
6012 Greene St
Philadelphia, PA 19144-2726
Phone
(215) 843-9400
NPI assigned
May 12, 2010
Last updated
May 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 024857 PA Primary

Addresses

Primary practice location

6012 Greene St
Philadelphia, PA 19144-2726

Mailing address

6012 Greene St
Philadelphia, PA 19144-2726
Phone (215) 843-9400

Other identifiers 1

IdentifierTypeStateIssuer
1265597355OtherPANPI TYPE 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103002237 PA Order and Referring Only - DentistPractitioner - Dentist 9739482647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024857PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CD Pennsylvania Dental, P.C. Dentist Past Accepting new patients
DRS. Melman, Kippen, Ravett and Assocs. P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1932427176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442726",
            "telephone_number": "215-843-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442726",
            "telephone_number": "215-843-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVETT",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "024857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1265597355",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.