Individual provider Active NPI

Sherrona Lynn Rago, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1871651919
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7576 Issued in AZ
Practice address
4930 E Main St Ste 13
Mesa, AZ 85205-8006
Phone
(480) 314-4646
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7576 AZ Primary

Addresses

Primary practice location

4930 E Main St Ste 13
Mesa, AZ 85205-8006

Mailing address

4930 E Main St Ste 13
Mesa, AZ 85205-8006
Phone (480) 314-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001284 AZ Practitioner - Chiropractic 9133152978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4930 E Main St
Suite 13
Mesa, AZ 85205-8006
Phone (480) 314-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7576AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrona L. Rago, DC, LLC Chiropractor CurrentSince Jan 26, 2012 Accepting new patients

Locations

4930 E Main St
Ste 13
Mesa, AZ 85205
Phone (480) 314-4646

3940 N Miller Rd
Ste G
Scottsdale, AZ 85251
Phone (480) 512-9095

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1871651919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E MAIN ST STE 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058006",
            "telephone_number": "480-314-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 E MAIN ST STE 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058006",
            "telephone_number": "480-314-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGO",
        "first_name": "SHERRONA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.