NPIMap

Organization Active NPI

Raynor-Cano

  • General Practice Dentistry
  • Storrs Mansfield, CT
National Provider Identifier
1083635817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4647 Issued in CT
Legal business name
RAYNOR-CANO
Practice address
1022 Storrs Rd
Storrs Mansfield, CT 06268-2639
Phone
(860) 429-6406
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew James Raynor, DMDNPI 1851417620
Title
Dentist
Phone
(860) 429-6406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09270 CT
General Practice Dentistry 1223G0001X 6141 CT
General Practice Dentistry 1223G0001X 4647 CT Primary

Addresses

Primary practice location

1022 Storrs Rd
Storrs Mansfield, CT 06268-2639

Mailing address

1022 Storrs Rd
Storrs Mansfield, CT 06268-2639
Phone (860) 429-6406

Other names 1

  • Storrs Family Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083635817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682639",
            "telephone_number": "860-429-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682639",
            "telephone_number": "860-429-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNOR-CANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-429-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "09270",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Storrs Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.