NPIMap

Organization Active NPI

Debora Rayhan D.D.S., Inc.

  • Dentist
  • Ukiah, CA
National Provider Identifier
1053889956
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEBORA RAYHAN D.D.S., INC.
Practice address
1252 Airport Park Blvd Ste D1
Ukiah, CA 95482-5979
Phone
(707) 462-8719
Fax
(707) 472-0921
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Tonia Payne
Title
Regional Manager
Phone
(707) 462-8719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1252 Airport Park Blvd Ste D1
Ukiah, CA 95482-5979

Mailing address

1252 Airport Park Blvd Ste D1
Ukiah, CA 95482-5979
Phone (707) 462-8719

Other practice location 1

361 S Main St
Willits, CA 95490-3951
Phone (707) 459-6103

National Provider Directory

National Provider Directory
Tax ID family
Debora Rayhan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1252 Airport Park Blvd
Ste D1
Ukiah, CA 95482
Phone (707) 462-8719

Practitioners & affiliated clinicians

Practitioners 4

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": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1053889956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 AIRPORT PARK BLVD STE D1",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825979",
            "telephone_number": "707-462-8719",
            "fax_number": "707-472-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 AIRPORT PARK BLVD STE D1",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825979",
            "telephone_number": "707-462-8719",
            "fax_number": "707-472-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 S Main St",
            "address_purpose": "LOCATION",
            "city": "Willits",
            "state": "CA",
            "postal_code": "954903951",
            "country_code": "US",
            "telephone_number": "707-459-6103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEBORA RAYHAN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "707-462-8719"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.