Active NPI
Richard J Dragon, D.M.D.
- General Practice Dentistry
- Gardnerville, NV
National Provider Identifier
1851323406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2218
- Practice address
- 1234 Waterloo LN
Gardnerville, NV 89410-7373 - Phone
- (775) 782-9755
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2218 | NV | Primary |
Addresses
Primary practice location
1234 Waterloo LN
Gardnerville, NV 89410-7373
Mailing address
1234 Waterloo LN
Gardnerville, NV 89410-7373
Phone (775) 782-9755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20150708002404 | NV | Order and Referring Only - Oral Surgery | 0244542975 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2218 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dragon Dental, Inc. | General Practice | 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.
-
- General Practice Dentistry
- Gardnerville, NV
- NPI 1295819894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851323406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 WATERLOO LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894107373",
"telephone_number": "775-782-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 WATERLOO LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894107373",
"telephone_number": "775-782-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGON",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "2218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardnerville, NV
- Shari Dixon
- Douglas Co and Unincorporated Towns (China Spring Youth Camp)
- Douglas County and Unincorporated Towns (China Spring Youth Camp ADAPT)
- Dr Margaret Dixon LC
- Dragon Dental, Inc.
- Stuart Sumner Drange, D.D.S., F.I.C.O.I
- Dorothy Lee Draper, MFT
- Casey Danelle Driscoll
- Evelia Marie Duncan
- Evan Wayne Easley, MD
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.