Active NPI
Allison Denise Raymond, DDS
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1093296550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17207
- Practice address
- 1627 Kenilworth Ave NE
Washington, DC 20019-2010 - Phone
- (202) 803-2340
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17207 | MD | Primary |
| General Practice Dentistry | 1223G0001X | DEN2000335 | DC |
Addresses
Primary practice location
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Mailing address
109 Juniper St
Lake Jackson, TX 77566-5023
Phone (979) 417-9465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910003646 | MD | Order and Referring Only - Dentist | 5799225314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17207 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elaine Ellis Center of Health | Past | Accepting new patients | |
| Elaine Ellis Center of Health | Past | Accepting new patients |
Interoperability endpoints
- allison.raymond.1@13305.direct.athenahealth.com
- https://api.platform.athenahealth.com/13305/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Washington, DC
- NPI 1366243768
-
- Federally Qualified Health Center (FQHC)
- College Park, MD
- NPI 1184164014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1093296550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JUNIPER ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665023",
"telephone_number": "979-417-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 KENILWORTH AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192010",
"telephone_number": "202-803-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "ALLISON",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "17207",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN2000335",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.