MEDICARE: AVI RANADIVE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1306782644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVI RANADIVE DMD

Provider Business Mailing Address
First Line	:	8505 FREEPORT PKWY STE 600
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8505 FREEPORT PKWY STE 600
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2549
Country	:	US
Telephone Number	:	817-529-8151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

Similar Medicare Providers

1124963293 — SIMON SANGBEOM PARK
Practice Location Address:

8505 FREEPORT PKWY STE 600
IRVING, TX
75063-2549

Practice Phone: 432-242-5540
Practice Fax:

1639042344 — ANNE CLAIRE GRAMMER PHD
Practice Location Address:

2549 IRVING ST # 1097
SAN FRANCISCO, CA
94122-1514

Practice Phone: 510-214-3413
Practice Fax:

1003263112 — DR. RAE WATKINS PSYD
Practice Location Address:

1519 W IRVING PARK RD STE 1
CHICAGO, IL
60613-2549

Practice Phone: 773-600-7580
Practice Fax:

1114799434 — ANDREANA SARA MIN
Practice Location Address:

9901 VALLEY RANCH PKWY E
IRVING, TX
75063-4730

Practice Phone: 972-417-1936
Practice Fax:

1639975428 — TEXAS CARING HEARTS HOMEHEALTH INC
Practice Location Address:

3615 COLDSTREAM DR
IRVING, TX
75063-1255

Practice Phone: 972-513-8496
Practice Fax:

1770266223 — EMMA ELLINGHAUS LMSW
Practice Location Address:

6230 N BELT LINE RD STE 305
IRVING, TX
75063-2657

Practice Phone: 817-369-8214
Practice Fax:

Directions to “ AVI RANADIVE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.