Gerald Ray Dragich, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

3909 N Belt W
A
Belleville, IL 62226-5607

Phone

(618) 236-0900

Fax

(618) 236-0913

NPI assigned

Feb 13, 2007

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 IL

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

State licenses

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.

• Gerald R. Dragich, D.M.D., P.C.

  • General Practice Dentistry
  • Belleville, IL
  • NPI 1639448137
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184766206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 N BELT W",
            "address_2": "A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265607",
            "telephone_number": "618-236-0900",
            "fax_number": "618-236-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 N BELT W",
            "address_2": "A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265607",
            "telephone_number": "618-236-0900",
            "fax_number": "618-236-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGICH",
        "first_name": "GERALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Robert L Meinders DC LTD
• Dr. Cynthia C. Banderet, DMD, PC
• Dr. Leo N. Dumstorff DDS LTD.
• Dr. Rob Fast LLC (Back Pain Clinic)
• Dr. S. a. Brooks, DPM
• Gary Edward Drake, DDS
• Rachel Anne Dressler, LPC
• Mark J Droege, EDUCATOR
• DRS Szewczyk & Nekola LLC
• DRS. Becherer, Becherer & Associates, LTD

• Dentist in Belleville, IL
• Providers in Belleville, IL by specialty
• Dentist in Illinois

• 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.
• 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.