Individual provider Active NPI

Dominic Anthony Raggi

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrysville, PA
National Provider Identifier
1811645013
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS042532 Issued in PA
Practice address
5290 Logan Ferry Rd # 8523
Murrysville, PA 15668-8523
Phone
(724) 733-2211
NPI assigned
Mar 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS042532 PA Primary

Addresses

Primary practice location

5290 Logan Ferry Rd # 8523
Murrysville, PA 15668-8523

Mailing address

27 Willowbrook LN
Washington, PA 15301-6217
Phone (724) 470-4282

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

State licenses

LicenseStateTypeSpecialty
DS042532PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
James R Dee Jr DMD Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Signature Orthodontics of Pittsburg Orthodontics and Dentofacial Orthopedics PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 2

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1811645013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILLOWBROOK LN",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016217",
            "telephone_number": "724-470-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 LOGAN FERRY RD # 8523",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156688523",
            "telephone_number": "724-733-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGGI",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS042532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.