Ralph Anthony Tardugno, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30562 Issued in NY

Practice address

210 W Embargo St
Rome, NY 13440-5033

Phone

(315) 339-3339

Fax

(315) 339-3339

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831282219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W EMBARGO ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405033",
            "telephone_number": "315-339-3339",
            "fax_number": "315-339-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W EMBARGO ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405033",
            "telephone_number": "315-339-3339",
            "fax_number": "315-339-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDUGNO",
        "first_name": "RALPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "30562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00559320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina E Tanner, SPEECH LANG PATH
• Lance Natalino Tardugho, DDS
• Tardugno Dental Office PC
• Douglas John Tardugno, DDS
• Mark Steven Tardugno, DDS
• Samantha Tardugno, DMD
• Dorothy M Tauss, RN
• Eileen Taveniere, LMSW
• Vivienne Elaine Taylor, M.D.
• Brianna K Tebo

• General Practice Dentistry in Rome, NY
• Providers in Rome, NY by specialty
• General Practice Dentistry in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.