Active NPI
Ronald Lewis Proctor, DDS
- General Practice Physician
- Carrollton, TX
National Provider Identifier
1881691459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10344
- Practice address
- 3740 N Josey LN
Ste 121
Carrollton, TX 75007-2471 - Phone
- (972) 492-2866
- Fax
- (972) 394-0583
- NPI assigned
- Jun 28, 2005
- 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 Physician | 208D00000X | 10344 | TX | Primary |
Addresses
Primary practice location
3740 N Josey LN
Ste 121
Carrollton, TX 75007-2471
Mailing address
3740 N Josey LN
Ste 121
Carrollton, TX 75007-2471
Phone (972) 492-2866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM76 | Other | TX | BCBS |
| 742084 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20160912000998 | TX | Order and Referring Only - Oral Surgery | 1355637745 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10344 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881691459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 N JOSEY LN",
"address_2": "STE 121",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072471",
"telephone_number": "972-492-2866",
"fax_number": "972-394-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 N JOSEY LN",
"address_2": "STE 121",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072471",
"telephone_number": "972-492-2866",
"fax_number": "972-394-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "RONALD",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "10344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CM76",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "742084",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
- Priority Imaging, LLC
- Pro Health Diagnostics LLC
- Pro Health Diagnostics, LLC
- Pro Healthcare LLC
- Procare Group Inc. (Southwest Spine Center)
- Professional Billing and Consultants
- Professional Clinical Laboratory, Inc. (ProLab)
- Professional Healthcare Management
- Prolink Home Health Corporation
- Proponent Logistics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.