Ralph B Waugh DDS MD Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

RALPH B WAUGH DDS MD INC

Practice address

43713 20TH St W
#1
Lancaster, CA 93534

Phone

(661) 948-5061

Fax

(661) 723-7390

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Beverly Waugh, DDS MD

Title

President of Corporation

Phone

(661) 948-5061

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ralph B Waugh DDS MD Other name

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
  • Ridgecrest, CA
  • NPI 1336333780
  NPD tax ID

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1386843886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43713 20TH ST W",
            "address_2": "SUITE #1",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-948-5061",
            "fax_number": "661-723-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43713 20TH ST W",
            "address_2": "#1",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-948-5061",
            "fax_number": "661-723-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH B WAUGH DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "BEVERLY",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "14900",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A225240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralph B Waugh DDS MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oral and Maxillofacial Pathology Dentistry in Lancaster, CA
• Providers in Lancaster, 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 Jul 13, 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.