Individual provider Active NPI

Steven Robert Ragan, D.D.S.

  • General Practice Dentistry
  • Penfield, NY
National Provider Identifier
1598984411
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040777 Issued in NY
Practice address
2226 Penfield Rd
Penfield, NY 14526-1922
Phone
(585) 377-5810
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 040777 NY Primary

Addresses

Primary practice location

2226 Penfield Rd
Penfield, NY 14526-1922

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

4384 Lakeville Rd
Geneseo, NY 14454-9761
Phone (585) 243-2320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001731 NY Practitioner - Dentist 1951823665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital General Practice CurrentSince Jan 16, 2025 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 16, 2025 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Jan 16, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jan 16, 2025 Accepting new patients

Locations

4384 Lakeville Rd
Geneseo, NY 14454
Phone (585) 243-2020

2226 Penfield Rd
Penfield, NY 14526
Phone (585) 388-5280

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: sragan410060@direct.rochesterregional.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1598984411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261922",
            "telephone_number": "585-377-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4384 Lakeville Rd",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144549761",
            "country_code": "US",
            "telephone_number": "585-243-2320",
            "fax_number": "585-243-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.