Jesse Mitchel Raybon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11129 Issued in SC

Practice address

4303 Live Oak Dr
Little River, SC 29566-9138

Phone

(843) 663-8011

NPI assigned

Jun 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGAIBD/Endpoint/HGAIBD

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1003701913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 MAYA LAYNE DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295665405",
            "telephone_number": "803-389-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 LIVE OAK DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669138",
            "telephone_number": "843-663-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBON",
        "first_name": "JESSE",
        "middle_name": "MITCHEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dottie Randall-Cox, RN
• Jeffrey Dwayne Randall, MPC
• Venita Catrice Randall, MA, LPC, LPCS, LAC
• Antonela K Ratiu, APRN
• April Ratley, FNP-BC
• Mohammed Rayyan, FNP-BC
• William Renfrow, DC
• John William Reuter
• Christopher Lamont Reynolds, LMT
• Cassie Renee Rider, CNP

• Dentist in Little River, SC
• Providers in Little River, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.