Individual provider Active NPI

Daniel Morgan Raiford, DDS

  • General Practice Dentistry
  • Kings Mountain, NC
National Provider Identifier
1063522787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3713 Issued in NC
Practice address
706 West King St
Kings Mountain, NC 28086
Phone
(704) 739-3601
Fax
(704) 739-0800
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3713 NC Primary
General Practice Dentistry 1223G0001X DN007919 GA
General Practice Dentistry 1223G0001X PN6964 FL

Addresses

Primary practice location

706 West King St
Kings Mountain, NC 28086

Mailing address

127 N Tryon St
Unit 615
Charlotte, NC 28202-1170
Phone (704) 375-2252

Other identifiers 1

IdentifierTypeStateIssuer
7997231MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212001672 NC Practitioner - Dentist 0749584134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3713NCMDProfessional Counselor
PN6964FLMDGeneral Practice Dentistry
DN007919GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Nov 20, 2019 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University General Practice CurrentSince Nov 20, 2019 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Apr 26, 2024 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Apr 26, 2024 Accepting new patients
County of Haywood Past Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063522787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N TRYON ST",
            "address_2": "UNIT 615",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021170",
            "telephone_number": "704-375-2252",
            "fax_number": "704-338-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 WEST KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "28086",
            "telephone_number": "704-739-3601",
            "fax_number": "704-739-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIFORD",
        "first_name": "DANIEL",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3713",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN007919",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "PN6964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7997231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

Verify at the official NPI Registry.