Active NPI
Anthony Alvaro Raggi, DMD
- Dentist
- Ithaca, NY
National Provider Identifier
1639434707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058474
- Practice address
- 2333 N Triphammer Rd
Suite 304
Ithaca, NY 14850 - Phone
- (607) 272-3433
- Fax
- (339) 686-2561
- NPI assigned
- Jul 5, 2012
- 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 | 058474 | NY | Primary |
Addresses
Primary practice location
2333 N Triphammer Rd
Suite 304
Ithaca, NY 14850
Mailing address
888 Worcester St
Suite 130
Wellesley, MA 02482-3744
Phone (617) 964-6681
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ithaca |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058474 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Focused Solutions, Inc. | Past | Accepting new patients | |
| Dental Care With a Difference, PC | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Ithaca, NY
- NPI 1689904302
-
- Customized Equipment (DME)
- Ithaca, NY
- NPI 1124561543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1639434707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 WORCESTER ST",
"address_2": "SUITE 130",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024823744",
"telephone_number": "617-964-6681",
"fax_number": "339-686-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 N TRIPHAMMER RD",
"address_2": "SUITE 304",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-272-3433",
"fax_number": "339-686-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGGI",
"first_name": "ANTHONY",
"middle_name": "ALVARO",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058474",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ithaca",
"affiliation": "N",
"address_1": "2333 N triphammer rd",
"address_2": "Suite 304",
"city": "Ithaca",
"state": "NY",
"country_code": "US",
"postal_code": "14850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.