Ratchford Dental Practice, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61353 Issued in CA

Legal business name

RATCHFORD DENTAL PRACTICE, INC

Doing business as

Morro Bay Family Dentistry

Practice address

747 Bernardo Ave
Morro Bay, CA 93442-2339

Phone

(805) 772-8585

NPI assigned

Aug 4, 2014

Last updated

Aug 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Forest Crown Ratchford

Title

Treasurer

Phone

(931) 802-4893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Morro Bay Family Dentistry Doing business as

Practitioners 3

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.

• Sally Cahyadi Gonzaga

  • General Practice Dentistry
  • Morro Bay, CA
  • NPI 1538094768
  NPD (past)
• Bruce Trubo, D.D.S.

  • General Practice Dentistry
  • Morro Bay, CA
  • NPI 1861508277
  NPD (past)
• Sorina Ratchford

  • General Practice Dentistry
  • Harlingen, TX
  • NPI 1225471311
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1982013066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BERNARDO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422339",
            "telephone_number": "805-772-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BERNARDO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422339",
            "telephone_number": "805-772-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATCHFORD DENTAL PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "RATCHFORD",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "CROWN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "931-802-4893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1225471311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morro Bay Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah E Porraz
• Romano Procida, RPH
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• Candice Allysha Rodriguez, RDN
• Crystal Louise Rose, LCSW
• Ross J. Dover, PT (TherapyWorks-FitnessWorks)
• Kristi Ann Ross, LCSW,CADC

• General Practice Dentistry in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.