Active NPI
Khalid I Ragab, DMD
- Dentist
- Monroe, MI
National Provider Identifier
1881148195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022057
- Practice address
- 2165 N Telegraph Rd
Monroe, MI 48162-8947 - Phone
- (732) 230-7876
- NPI assigned
- Aug 4, 2016
- Last updated
- Feb 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022057 | MI | Primary |
| General Practice Dentistry | 1223G0001X | 39464 | TX |
Addresses
Primary practice location
2165 N Telegraph Rd
Monroe, MI 48162-8947
Mailing address
2165 N Telegraph Rd
Monroe, MI 48162-8947
Phone (732) 230-7876
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022057 | MI | MD | Dentist |
| 39464 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708214400000",
"number": "1881148195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 N TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481628947",
"telephone_number": "732-230-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 N TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481628947",
"telephone_number": "732-230-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAB",
"first_name": "KHALID",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2024-02-18",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022057",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.