GANESH SHIVARAM DDS
NPI 1386330181
Student in an Organized Health Care Education/Training Program in Fort Worth, TX
About Ganesh Shivaram Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GANESH SHIVARAM DDS (NPI 1386330181) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ganesh Shivaram Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ganesh Shivaram's NPI number?
The NPI number for Ganesh Shivaram is 1386330181. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Ganesh Shivaram located?
Ganesh Shivaram practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-6936.
What is Ganesh Shivaram's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ganesh Shivaram enrolled in Medicare?
Yes. Ganesh Shivaram is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ganesh Shivaram was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ganesh Shivaram, DDS · NPI 1386330181
Student in an Organized Health Care Education/Training Program provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1386330181 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-6936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386330181) · Data from the CMS NPPES public registry.