Organization Active NPI

Kevin L Ragsdale, D.D.S., P.C.

  • General Practice Dentistry
  • Dalton, GA
National Provider Identifier
1891119533
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010165 Issued in GA
Legal business name
KEVIN L RAGSDALE, D.D.S., P.C.
Practice address
1501 Broadrick Dr
Ste 2
Dalton, GA 30720-3014
Phone
(706) 275-6631
Fax
(706) 226-4899
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Kevin L. Ragsdale, D.D.S.NPI 1316073158
Title
Owner
Phone
(706) 275-6631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010165 GA Primary

Addresses

Primary practice location

1501 Broadrick Dr
Ste 2
Dalton, GA 30720-3014

Mailing address

1501 Broadrick Dr
Ste 2
Dalton, GA 30720-3014
Phone (706) 275-6631

Other names 1

  • Kevin L. Ragsdale, D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

1501 Broadrick Dr
Ste 2
Dalton, GA 30720
Phone (706) 275-6631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1891119533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "STE 2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-275-6631",
            "fax_number": "706-226-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "STE 2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-275-6631",
            "fax_number": "706-226-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L RAGSDALE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-275-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin L. Ragsdale, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.