Individual provider Active NPI

Raina Chandiramani

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1972959740
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D.E.N.00205095 Issued in CO
Practice address
9358 Dorchester St
Highlands Ranch, CO 80129-2511
Phone
(720) 647-9600
NPI assigned
May 10, 2016
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9799 KY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1044 KY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D.E.N.00205095 CO Primary

Addresses

Primary practice location

9358 Dorchester St
Highlands Ranch, CO 80129-2511

Mailing address

11838 Lakestone Way
Prospect, KY 40059-9000
Phone (502) 396-2439

Other practice location 1

11838 Lakestone Way
Prospect, KY 40059
Phone (502) 396-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160815000336 KY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2769776715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9799KYMDGeneral Practice Dentistry
D.E.N.00205095COMDOrthodontics and Dentofacial Orthopedic Dentist
1044KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chandiramani Ortho PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1972959740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 LAKESTONE WAY",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599000",
            "telephone_number": "502-396-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "720-647-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11838 Lakestone Way",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "40059",
            "country_code": "US",
            "telephone_number": "502-396-2439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDIRAMANI",
        "first_name": "RAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9799",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "1044",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "D.E.N.00205095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.