Individual provider Active NPI

Tanya Rajdev, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1225419856
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10086 Issued in NC
Practice address
807 Spring Forest Rd
Suite 600
Raleigh, NC 27609-9197
Phone
(919) 954-7177
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10086 NC Primary

Addresses

Primary practice location

807 Spring Forest Rd
Suite 600
Raleigh, NC 27609-9197

Mailing address

2328 Preston Grove Ave
Cary, NC 27513-8476
Phone (919) 800-7891

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

LicenseStateTypeSpecialty
10086NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Rajdev, DDS, PLLC Current Accepting new patients
Raymond Garrison DDS PA - Uda General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1225419856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 PRESTON GROVE AVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138476",
            "telephone_number": "919-800-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SPRING FOREST RD",
            "address_2": "SUITE 600",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099197",
            "telephone_number": "919-954-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJDEV",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10086",
            "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 Jun 9, 2015; 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.