Active NPI
Dennis A Ragoza, D.M.D.
- Dentist
- Southport, CT
National Provider Identifier
1740641323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Prosthodontics
- Berlin, CT
- NPI 1831219021
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
- Pro-Health Chiropractic, P.C.
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Therapy Contracting Services of CT, LLC
- Progressive Care Medical Group of CT, PLLC
- Ben Duncan Ramaley, M.D.
- Breanna Lyn Razdan, D.C.
- RCS Fairfield
- RCS Fairfield (Reliant Compounded Solutions)
- Michael Joseph Reynolds, D.D.S.
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.