Isabel Raven, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

14417 Issued in NC

Practice address

964 Glenway Dr Ste a
Statesville, NC 28625-9204

Phone

(704) 252-5793

NPI assigned

Aug 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orbie E Ottey Jr DDS Professional Corporation

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1174129423
  NPD
• Youngchi Chang DDS PLLC

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1023643582
  NPD

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1093699274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 PINE CANOPY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693999",
            "telephone_number": "305-753-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 GLENWAY DR STE A",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259204",
            "telephone_number": "704-252-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEN",
        "first_name": "ISABEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Randleman, CRNA
• Laura Randolph, D.O.
• George R Rankin, DDS
• Elizabeth Whitley Fickling Rashley, MD
• Nikhiel Bhasker Rau, M.D.
• Blake Campbell Ravin, LPC
• Denise Overcash Ray, MPT
• Whitney Alexandria Reavis, PA
• Tom Redding
• Mia Redmond, LCSW

• Dentist in Statesville, NC
• Providers in Statesville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.