Active NPI
Ragland Professional Dental Corporation
- Dentist
- Sacramento, CA
National Provider Identifier
1194996231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.