Ralph B Waugh DDS MD Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

14900 Issued in CA

Legal business name

RALPH B WAUGH DDS MD INC

Practice address

119 S Gold Canyon
Ridgecrest, CA 93555

Phone

(760) 375-1511

Fax

(760) 375-5980

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ralph B Waugh, DDS MD

Title

President of Corporation

Phone

(661) 948-5061

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Ralph B Waugh DDS MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ralph B Waugh DDS MD Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Lancaster, CA
  • NPI 1386843886
  NPD tax ID

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1336333780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S GOLD CANYON",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-375-1511",
            "fax_number": "760-375-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S GOLD CANYON",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-375-1511",
            "fax_number": "760-375-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH B WAUGH DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "661-948-5061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "14900",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A22524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A22540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "14900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest Andrew Quier, CRNA
• Jill Kristine Rachels, RD
• Joshua Ryan Radparvar
• Reva Raiken, OT
• Corben Michael Philip Raley
• Aundrea Nicole Rash, FNP
• Reen Medical Group Inc
• Amikjit Singh Reen, M.D.
• Sandeep Reen, MEDICAL DOCTOR
• Clarissa Reynolds, MSW, PPS, ASW

• Oral and Maxillofacial Pathology Dentistry in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.