Individual provider Active NPI

Richard Davis Ragnell, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1740334689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11213 Issued in TX
Practice address
12820 Hillcrest Rd
Suite 202
Dallas, TX 75230-1526
Phone
(972) 386-8555
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11213 TX Primary

Addresses

Primary practice location

12820 Hillcrest Rd
Suite 202
Dallas, TX 75230-1526

Mailing address

12820 Hillcrest Rd
Suite 202
Dallas, TX 75230-1526
Phone (972) 386-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160503001750 TX Order and Referring Only - DentistPractitioner - Dentist 4385943968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11213TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740334689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-386-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-386-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGNELL",
        "first_name": "RICHARD",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.