Active NPI
Ron E Rankin, DDS
- Dentist
- Sonora, CA
National Provider Identifier
1780809228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20441
- Practice address
- 23 Snell St
Sonora, CA 95370 - Phone
- (209) 532-0186
- NPI assigned
- Apr 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20441 | CA | Primary |
Addresses
Primary practice location
23 Snell St
Sonora, CA 95370
Mailing address
PO Box 696
Jamestown, CA 95327
Phone (209) 532-0186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LIC 20441 | Other | CA | USED FOR ALLDENTAL CLAIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160318002276 | CA | Order and Referring Only - Dentist | 4789981663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780809228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "JAMESTOWN",
"state": "CA",
"postal_code": "95327",
"telephone_number": "209-532-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SNELL ST",
"city": "SONORA",
"state": "CA",
"postal_code": "95370",
"telephone_number": "209-532-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "RON",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "20441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USED FOR ALLDENTAL CLAIMS",
"identifier": "LIC 20441",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.