Active NPI
Ralph Frederick Ranghelli III, DMD
- Dentist
- Center Moriches, NY
National Provider Identifier
1578670758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0473971
- Practice address
- 404 Main Street
Center Moriches, NY 11934-3511 - Phone
- (631) 878-1660
- Fax
- (631) 878-1756
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0473971 | NY | Primary |
Addresses
Primary practice location
404 Main Street
Center Moriches, NY 11934-3511
Mailing address
404 Main Street
Center Moriches, NY 11934-3511
Phone (631) 878-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160129002220 | NY | Order and Referring Only - Dentist | 2567765241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0473971 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578670758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MAIN STREET",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119343511",
"telephone_number": "631-878-1660",
"fax_number": "631-878-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MAIN STREET",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119343511",
"telephone_number": "631-878-1660",
"fax_number": "631-878-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGHELLI",
"first_name": "RALPH",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0473971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
- Alexander Pomposello
- Richard Ritt Pongvitayapanu, MD
- Pramod Bhanti, PT, PC (Comprehensive Physical Therapy & Rehab.)
- Carly Pronsky
- Qureshi Medical Services PLLC (Qureshi Medical Services)
- Gayle S Rawlings, MS
- Michael Wayne Reid, LPN
- Jorge Alberto Reiley, MD
- Lauren Ashley Richard Holt, LCSW
- Petros-Emmanouil Rizkalla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.