Raymond L Christine, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008252 Issued in IN

Practice address

604 E Boulevard
Suite a
Kokomo, IN 46901-8801

Phone

(765) 459-8412

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

• Fraiz Dental Group P.C.

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1801390992

  General Practice

  NPD (past)
• Ridder Dental LLC

  • Dental Clinic/Center
  • Kokomo, IN
  • NPI 1760113534
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2007.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1083641120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022286",
            "telephone_number": "765-864-2325",
            "fax_number": "765-453-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469018801",
            "telephone_number": "765-459-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTINE",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Marie Ann Silva Chin, BA
• Benjamin Chiu, M.D.
• Brayden Chou
• Justine Danielle Christensen, MS, ATC
• Devan Brooke Christenson, PMHNP
• Brittany Christmas
• Christy Price LCSW LLC
• Noah Cicalo, LMHC
• Circlecity ABA
• City Optical Co., Inc.

• All providers in Kokomo, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.