John Ben Ragusa, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2156 Issued in LA

Practice address

16819 Cherry Bark Dr
Baton Rouge, LA 70810-5811

Phone

(225) 241-7928

NPI assigned

Mar 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1720354822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16819 CHERRY BARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105811",
            "telephone_number": "225-241-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16819 CHERRY BARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105811",
            "telephone_number": "225-241-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "JOHN",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates LLC
• Radiology Specialists LLC
• Radsouth Imaging, LLP
• Courtney Raffay
• Gianna Maria Ragosta, MS, RDN, LDN
• Joseph Young Ragusa, MD
• Shannon Hawkins Ragusa, LPC
• Shelly D Ragusa
• Libertad Raibstein, MD
• Sara J Raiford, LPC

• Oral and Maxillofacial Surgery (Dentist) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.