Active NPI
Raymond Januario Fonseca, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Asheville, NC
National Provider Identifier
1215945951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3375
- Practice address
- 5 Rockcliff PL
Asheville, NC 28801-4510 - Phone
- (828) 255-7781
- Fax
- (828) 258-3770
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3375 | NC | Primary |
Addresses
Primary practice location
5 Rockcliff PL
Asheville, NC 28801-4510
Mailing address
5 Rockcliff PL
Asheville, NC 28801-4510
Phone (828) 255-7781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3375 | Other | NC | N.C. STATE DENTAL BOARD |
| 89902UT | Medicaid | NC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Scully, Matheson and Fonseca, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| University of Penn - Oral Surgery Associates | Past | Accepting new patients | |
| DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolinas Center For Oral And Facial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Charlotte, NC
- NPI 1972554186
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Asheville, NC
- NPI 1902817851
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Philadelphia, PA
- NPI 1912011321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215945951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ROCKCLIFF PL",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014510",
"telephone_number": "828-255-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ROCKCLIFF PL",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014510",
"telephone_number": "828-255-7781",
"fax_number": "828-258-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "RAYMOND",
"middle_name": "JANUARIO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "3375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N.C. STATE DENTAL BOARD",
"identifier": "3375",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902UT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, 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.