Organization Active NPI

Ragland Professional Dental Corporation

  • Dentist
  • Sacramento, CA
National Provider Identifier
1194996231
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RAGLAND PROFESSIONAL DENTAL CORPORATION
Practice address
1820 Avondale Ave Ste 4
Sacramento, CA 95825-1394
Phone
(916) 972-9133
Fax
(916) 367-6725
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Darryl Kevin Ragland, DDS
Title
Owner
Phone
(916) 972-9133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1820 Avondale Ave Ste 4
Sacramento, CA 95825-1394

Mailing address

1820 Avondale Ave Ste 4
Sacramento, CA 95825-1394
Phone (916) 972-9133

Other names 1

  • Signature Smiles Sacramento Doing business as

National Provider Directory

National Provider Directory

Locations

1820 Avondale Ave
Ste 4
Sacramento, CA 95825
Phone (916) 972-9133

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1194996231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 AVONDALE AVE STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251394",
            "telephone_number": "916-972-9133",
            "fax_number": "916-367-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 AVONDALE AVE STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251394",
            "telephone_number": "916-972-9133",
            "fax_number": "916-367-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGLAND PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-972-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smiles Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.