Active NPI
Kathryn T. Ragalis, DMD
- General Practice Dentistry
- Auburn, MA
National Provider Identifier
1194934505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18144
- Practice address
- 176 Auburn St
Auburn, MA 01501-1635 - Phone
- (508) 832-5731
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 18144 | MA | Primary |
Addresses
Primary practice location
176 Auburn St
Auburn, MA 01501-1635
Mailing address
151 Tremont St
#16-U
Boston, MA 02111-1125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18144 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central NE Center for Implant & Cosmetic Dentisry PC | General Practice | Past | Accepting new patients |
| Central New England Center for Implants and Cosmetic Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Central NE Dental Associates
- General Practice Dentistry
- Auburn, MA
- NPI 1154348910
-
- Periodontics
- Auburn, MA
- NPI 1770705048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194934505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 TREMONT ST",
"address_2": "#16-U",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 AUBURN ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015011635",
"telephone_number": "508-832-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGALIS",
"first_name": "KATHRYN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
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.