John Richard Aragon, D.D.S.
Individual provider Active NPI General Practice Dentistry · Fortuna, CA
NPI 1841275823 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1841275823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6363 (CO)
- Practice address
- 3750 Rohnerville Rd
Fortuna, CA 95540-3118 - Phone
- (707) 617-2555
- Fax
- (707) 725-7843
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200928003248 | CA | Order and Referring Only - Dentist |
8820417629 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6363 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Past | Accepting new patients |
Interoperability endpoints
- jaragon844650@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6363 | CO | Yes |
Addresses
Primary practice location
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Mailing address
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone (707) 617-2555
Other providers in Fortuna, CA
- Lauretta Allen
- Barbara Nettles Anderson
- James McCall Anderson
- Jane Scott Anderson
- Stefanie Ellen Anderson
- April Ash
- Gary Hungerford Baker
- Christy Rae Bascochea
- Michael Peter Belluscio
- Elaine K Bettiga
All providers in Fortuna, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.