Organization Active NPI

Raymond Cosmetic & Implant Dentistry

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1023898145
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAYMOND COSMETIC & IMPLANT DENTISTRY
Practice address
1251 Wesley Dr Ste 130
Memphis, TN 38116-6443
Phone
(901) 332-9170
Fax
(901) 332-0806
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Abby Raymond, DDSNPI 1700136959
Title
Dentist/Owner
Phone
(301) 728-4997

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1251 Wesley Dr Ste 130
Memphis, TN 38116-6443

Mailing address

1251 Wesley Dr Ste 130
Memphis, TN 38116-6443
Phone (901) 332-9170

National Provider Directory

National Provider Directory

Locations

1251 Wesley Dr
Ste 130
Memphis, TN 38116
Phone (901) 332-9170

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1023898145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WESLEY DR STE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166443",
            "telephone_number": "901-332-9170",
            "fax_number": "901-332-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WESLEY DR STE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166443",
            "telephone_number": "901-332-9170",
            "fax_number": "901-332-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND COSMETIC & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-728-4997",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.