Trevor L Ragan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39930 Issued in CA

Practice address

444 W Miner St
Yreka, CA 96097-2839

Phone

(530) 842-7323

NPI assigned

Jul 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Smiles

  • General Practice Dentistry
  • Yreka, CA
  • NPI 1548408859
  NPD (past) Authorized official
• Trevor L. Ragan, DDS, Inc.

  • Dentist
  • Yreka, CA
  • NPI 1427260314
  NPD (past) Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1124316237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W MINER ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W MINER ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972839",
            "telephone_number": "530-842-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "TREVOR",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan C Purtzer, MD
• Jacquelyn Elizabeth Pyeatt
• Julie Marie Quigley, MA
• Geri L Quintero, L.AC.
• Samuel C Rabinowitz, M.D.
• Mohsen Micahel Raghian, RPH
• Raleys
• Christina D Ralston
• Claudia Ramos
• Shantell Loree Reed

• General Practice Dentistry in Yreka, CA
• Providers in Yreka, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.