Kevin Lee Ragsdale, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10165 Issued in GA

Practice address

1501 Broadrick Dr
Ste 2
Dalton, GA 30720-3014

Phone

(706) 275-6631

Fax

(706) 226-4899

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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 GA

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

Locations

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.

• Kevin L Ragsdale, D.D.S., P.C.

  • General Practice Dentistry
  • Dalton, GA
  • NPI 1891119533
  NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316073158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "STE 2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-275-6631",
            "fax_number": "706-226-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "STE 2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-275-6631",
            "fax_number": "706-226-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Care Concepts, Inc.
• Elizabeth Paige Queen, M.D.
• Lorena Quintero
• Wajih Rabah, D.C.
• Lindsey Radabaugh, LCSW
• Mansoor Rahman, MBBS
• Suzan Kethley Raines, PT, DPT
• Aimee Elizabeth Raley
• Jordan Nix Ralston, P.A.-C
• Tharmathai Thammi Ramanan, MD

• General Practice Dentistry in Dalton, GA
• Providers in Dalton, GA by specialty
• General Practice Dentistry in Georgia

• 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.