NPIMap

Organization Active NPI

K. Jasinski, D.M.D., P.C.

Doing business as Your Raleigh Dentist

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1023629508
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K. JASINSKI, D.M.D., P.C.
Doing business as
Your Raleigh Dentist
Practice address
8105 Fayetteville Rd Ste 101
Raleigh, NC 27603-5668
Phone
(919) 771-2760
NPI assigned
Aug 10, 2020
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
K. JASINSKI, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Tabatha Lemke
Title
Credentialing Coordinator
Phone
(217) 540-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8105 Fayetteville Rd Ste 101
Raleigh, NC 27603-5668

Mailing address

8105 Fayetteville Rd Ste 101
Raleigh, NC 27603-5668
Phone (919) 771-2760

Other names 1

  • Your Raleigh Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
K Jasinski DMD PC82 organizations share this tax ID, including this one
Part of
K Jasinski DMD PC

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Practitioners & affiliated clinicians

Practitioners 2

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1023629508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 FAYETTEVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035668",
            "telephone_number": "919-771-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 FAYETTEVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035668",
            "telephone_number": "919-771-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JASINSKI, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K. JASINSKI, D.M.D., P.C.",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-6078"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Raleigh Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Raleigh Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

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

Verify at the official NPI Registry.