Ratchford Dental Practice of Los Osos, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61353 Issued in CA

Legal business name

RATCHFORD DENTAL PRACTICE OF LOS OSOS, INC.

Practice address

2238 Bayview Heights Dr
Ste. N
Los Osos, CA 93402-3921

Phone

(931) 802-4893

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Forest Ratchford

Title

Treasurer

Phone

(931) 802-4893

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Cahyadi Gonzaga

  • General Practice Dentistry
  • Morro Bay, CA
  • NPI 1538094768
  NPD (past)
• Bruce Trubo, D.D.S.

  • General Practice Dentistry
  • Morro Bay, CA
  • NPI 1861508277
  NPD (past)
• Sorina Ratchford

  • General Practice Dentistry
  • Harlingen, TX
  • NPI 1225471311
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1730530668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BERNARDO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422339",
            "telephone_number": "805-772-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 BAYVIEW HEIGHTS DR",
            "address_2": "STE. N",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023921",
            "telephone_number": "931-802-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATCHFORD DENTAL PRACTICE OF LOS OSOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "RATCHFORD",
        "authorized_official_first_name": "FOREST",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "931-802-4893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lewis Peake, M.D.
• Ariana Maria Perez-Mansfield, OTR/L
• Robin A Peterson, D.C.
• Ralphs Grocery Company (Ralphs Pharmacy #271)
• Michelle Ramirez, PT
• Michael Wayne Regier, PH.D.
• Erin Roberts, OTR
• Maison Rodriguez
• Karen Marie Rogers, LMFT
• Casey Alynn Rosenlieb, SA COUNSELOR

• General Practice Dentistry in Los Osos, CA
• Providers in Los Osos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.