Active NPI
Brett S Ragusa, D.D.S.
- General Practice Dentistry
- Plametto, LA
National Provider Identifier
1053485870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5345
- Practice address
- 242 East Railroad Ave.
Plametto, LA 71358 - Phone
- (337) 623-3533
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5345 | LA | Primary |
Addresses
Primary practice location
242 East Railroad Ave.
Plametto, LA 71358
Mailing address
1280 Front St.
Cottonport, LA 71327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1853453 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053485870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 FRONT ST.",
"city": "COTTONPORT",
"state": "LA",
"postal_code": "71327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 EAST RAILROAD AVE.",
"city": "PLAMETTO",
"state": "LA",
"postal_code": "71358",
"telephone_number": "337-623-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGUSA",
"first_name": "BRETT",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1853453",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.