Active NPI
Raymond Lloyd McLagan
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chattanooga, TN
National Provider Identifier
1215529235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN123275
- Practice address
- 111 Vista Dr
Chattanooga, TN 37411-4419 - Phone
- (573) 239-0087
- NPI assigned
- Feb 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS0000012185 | TN | |
| General Practice Dentistry | 1223G0001X | DN123275 | GA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS0000012185 | TN | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN123275 | GA | Primary |
Addresses
Primary practice location
111 Vista Dr
Chattanooga, TN 37411-4419
Mailing address
111 Vista Dr
Chattanooga, TN 37411-4419
Phone (573) 239-0087
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 |
|---|---|---|---|
| DN123275 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DS0000012185 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Mountain Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1213 N Main St
La Fayette, GA 30728
Phone (423) 870-2926
4211 Hixson Pike
Chattanooga, TN 37415
Phone (423) 870-8787
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hixson, TN
- NPI 1598581357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1215529235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 VISTA DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114419",
"telephone_number": "573-239-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 VISTA DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114419",
"telephone_number": "573-239-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAGAN",
"first_name": "RAYMOND",
"middle_name": "LLOYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-10",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000012185",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123275",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "DS0000012185",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN123275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.