NPIMap

Individual provider Active NPI

Cynthia M Ramkelawan, DDS

  • General Practice Dentistry
  • Shreveport, LA
National Provider Identifier
1982776696
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4628 Issued in LA
Practice address
9445 Stevens Rd
Suite 120
Shreveport, LA 71106-7566
Phone
(318) 686-0493
Fax
(318) 754-3795
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4628 LA Primary

Addresses

Primary practice location

9445 Stevens Rd
Suite 120
Shreveport, LA 71106-7566

Mailing address

9445 Stevens Rd
Suite 120
Shreveport, LA 71106-7566
Phone (318) 686-0493

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

LicenseStateTypeSpecialty
4628LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1982776696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 STEVENS RD",
            "address_2": "SUITE 120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067566",
            "telephone_number": "318-686-0493",
            "fax_number": "318-754-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 STEVENS RD",
            "address_2": "SUITE 120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067566",
            "telephone_number": "318-686-0493",
            "fax_number": "318-754-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMKELAWAN",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.