Rizalino O Yray Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4462015 Issued in WI

Practice address

205 W Sadd St
North Prairie, WI 53153

Phone

(262) 392-2244

NPI assigned

Mar 28, 2007

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1124147434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W SADD STREET",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531530404",
            "telephone_number": "262-392-2244",
            "fax_number": "262-510-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W SADD ST",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "53153",
            "telephone_number": "262-392-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRAY",
        "first_name": "RIZALINO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4462015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rene Schimke-Jones, DC
• Larry Slutsky, DDS
• Village of North Prairie
• Stephen A Waite, DDS
• Kelly Wendt, RN

• General Practice Dentistry in North Prairie, WI
• Providers in North Prairie, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.