Active NPI
Larry Harrison Ray, DDS
- Dentist
- Raleigh, NC
National Provider Identifier
1124146600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4939
- Practice address
- 831 W Morgan St
4278 MSC
Raleigh, NC 27699-4278 - Phone
- (919) 838-3855
- Fax
- (919) 733-1415
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4939 | NC | Primary |
Addresses
Primary practice location
831 W Morgan St
4278 MSC
Raleigh, NC 27699-4278
Mailing address
7021 Stony Hill Rd
Wake Forest, NC 27587-7341
Phone (919) 556-5419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4939 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124146600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7021 STONY HILL RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877341",
"telephone_number": "919-556-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 W MORGAN ST",
"address_2": "4278 MSC",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276994278",
"telephone_number": "919-838-3855",
"fax_number": "919-733-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "LARRY",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "4939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.