Individual provider Active NPI

Ronald C. Rasi, DDS

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1477696037
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45179 Issued in CA
Practice address
568 N Sunrise Ave Ste 290
Roseville, CA 95661-3097
Phone
(916) 782-7733
Fax
(916) 782-7710
NPI assigned
Feb 14, 2007
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45179 CA Primary

Addresses

Primary practice location

568 N Sunrise Ave Ste 290
Roseville, CA 95661-3097

Mailing address

568 N Sunrise Ave Ste 290
Roseville, CA 95661-3097
Phone (916) 782-7733

Other identifiers 1

IdentifierTypeStateIssuer
20-1878012OtherCATAX ID#

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

LicenseStateTypeSpecialty
45179CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Placer LLC Past Accepting new patients
Ronald Rasi, DDS General Practice PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1477696037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N SUNRISE AVE STE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613097",
            "telephone_number": "916-782-7733",
            "fax_number": "916-782-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 N SUNRISE AVE STE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613097",
            "telephone_number": "916-782-7733",
            "fax_number": "916-782-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASI",
        "first_name": "RONALD",
        "middle_name": "C.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "20-1878012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.