Individual provider Active NPI

Dennis A Ragoza, D.M.D.

  • Dentist
  • Southport, CT
National Provider Identifier
1740641323
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11890 Issued in CT
Practice address
8 John St
Southport, CT 06890-1437
Phone
(203) 319-1300
Fax
(203) 319-1610
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 11890 CT Primary

Addresses

Primary practice location

8 John St
Southport, CT 06890-1437

Mailing address

665 Commerce Dr Apt 515
Fairfield, CT 06825-5518

Other practice location 1

4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000

Other practice location 2

39 Webster Square Rd
Berlin, CT 06037-2326
Phone (860) 828-3933

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental of New England LLC Past Accepting new patients

Organizations & group practices 1

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740641323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 COMMERCE DR APT 515",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901437",
            "telephone_number": "203-319-1300",
            "fax_number": "203-319-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Webster Square Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "CT",
            "postal_code": "060372326",
            "country_code": "US",
            "telephone_number": "860-828-3933",
            "fax_number": "860-828-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGOZA",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.