Plummer Ray Chavis, DDS, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4839 Issued in NC

Legal business name

PLUMMER RAY CHAVIS, DDS, P.A.

Practice address

1710 US Highway 401 S
Laurinburg, NC 28352-5423

Phone

(910) 276-6640

Fax

(910) 276-6538

NPI assigned

Feb 28, 2007

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Plummer Ray Chavis, DDSNPI 1538594866

Title

President Owner

Phone

(910) 276-6640

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Plummer Ray Chavis, D.D.S.

  • General Practice Dentistry
  • Laurinburg, NC
  • NPI 1538594866
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1245368620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "address_2": "1710 HWY 401 SOUTH",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283530886",
            "telephone_number": "910-276-6640",
            "fax_number": "910-276-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 US HIGHWAY 401 S",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525423",
            "telephone_number": "910-276-6640",
            "fax_number": "910-276-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMMER RAY CHAVIS, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "PLUMMER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "910-276-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991538",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.