NPIMap

Organization Active NPI

Ronald J Ragulsky D.D.S., L.L.C.

Doing business as Ronald J Ragulsky D.D.S., L.L.C. Group Providers

  • Dentist
  • Pueblo, CO
National Provider Identifier
1376942912
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
04921 Issued in CO
Legal business name
RONALD J RAGULSKY D.D.S., L.L.C.
Doing business as
Ronald J Ragulsky D.D.S., L.L.C. Group Providers
Practice address
3939 Sandalwood LN
Pueblo, CO 81005-2586
Phone
(719) 564-7737
Fax
(719) 564-0373
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Ronald J Ragulsky, D.D.S.NPI 1104938356
Title
Dentist
Phone
(719) 564-7737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 04921 CO Primary

Addresses

Primary practice location

3939 Sandalwood LN
Pueblo, CO 81005-2586

Mailing address

3939 Sandalwood LN
Pueblo, CO 81005-2586
Phone (719) 564-7737

Other names 1

  • Ronald J Ragulsky D.D.S., L.L.C. Group Providers Doing business as

National Provider Directory

National Provider Directory

Locations

3939 Sandalwood Ln
Pueblo, CO 81005
Phone (719) 564-7737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1376942912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-564-7737",
            "fax_number": "719-564-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-564-7737",
            "fax_number": "719-564-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J RAGULSKY D.D.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "RAGULSKY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-564-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "04921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald J Ragulsky D.D.S., L.L.C. Group Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.