Dustin Shane Ragan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5879 Issued in OK

Practice address

201 S 3Rd Street
McAlester, OK 74501-5443

Phone

(918) 426-9900

Fax

(918) 426-0202

NPI assigned

Sep 20, 2006

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dustin Shane Ragan Professional name

Medicare fee-for-service enrollment

Enrolled in OK

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dustin S. Ragan PC

  dba Ragan Family Dentistry

  • Dentist
  • McAlester, OK
  • NPI 1033410972
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1568569952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 3RD STREET",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015443",
            "telephone_number": "918-426-9900",
            "fax_number": "918-426-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 3RD STREET",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015443",
            "telephone_number": "918-426-9900",
            "fax_number": "918-426-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "DUSTIN",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "RAGAN",
            "middle_name": "SHANE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lori Pugh, BS
• Taylor Michelle Pulchny
• Brian David Pullum
• Dana Jill Quinton
• Donald Murray Quiver, M.D.
• Alanna R Ralls, M.ED.
• Akaas T Rana, MD
• Jennifer K. Ranallo, P.T.
• Crystal K Randazzo
• Sarah Lynn Randolph, DMD

• General Practice Dentistry in McAlester, OK
• Providers in McAlester, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.