Individual provider Active NPI

Paul Henry Ragas, DDS

  • General Practice Dentistry
  • Marrero, LA
National Provider Identifier
1750591277
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5818 Issued in LA
Practice address
2100 Barataria Blvd
Marrero, LA 70072-5019
Phone
(504) 340-5263
Fax
(504) 340-0891
NPI assigned
May 23, 2007
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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 5818 LA Primary

Addresses

Primary practice location

2100 Barataria Blvd
Marrero, LA 70072-5019

Mailing address

2100 Barataria Blvd
Marrero, LA 70072-5019
Phone (504) 340-5263

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160505000440 LA Order and Referring Only - DentistPractitioner - Dentist 7012216518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5818LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul H Ragas DDS 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1750591277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725019",
            "telephone_number": "504-340-5263",
            "fax_number": "504-340-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725019",
            "telephone_number": "504-340-5263",
            "fax_number": "504-340-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAS",
        "first_name": "PAUL",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.