Individual provider Active NPI

William Daniel Raymond, DDS

  • Dentist
  • Monroe, LA
National Provider Identifier
1245465392
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5955 Issued in LA
Practice address
2016 Tower Dr
Monroe, LA 71201-5036
Phone
(318) 388-1250
Fax
(318) 387-5717
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5955 LA Primary

Addresses

Primary practice location

2016 Tower Dr
Monroe, LA 71201-5036

Mailing address

2016 Tower Dr
Monroe, LA 71201-5036
Phone (318) 387-5732

Other practice location 1

7699 Highway 2
Farmerville, LA 71241-6165
Phone (318) 368-9518

Other identifiers 1

IdentifierTypeStateIssuer
1859559MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211001929 LA Practitioner - Dentist 2668772161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Louisiana State University School of Dentistry, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2016 Tower Dr
Monroe, LA 71201-5036
Phone (318) 387-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5955LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nela Sleep PLLC CurrentSince Jan 4, 2026 Accepting new patients
Nela Dental of Monroe, LLC Dentist CurrentSince Apr 27, 2025 Accepting new patients
Nela Dental of Farmerville, LLC PastSince Aug 30, 2015 Accepting new patients

Locations

2016 Tower Dr
Monroe, LA 71201
Phone (318) 387-5432

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1245465392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015036",
            "telephone_number": "318-387-5732",
            "fax_number": "318-387-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015036",
            "telephone_number": "318-388-1250",
            "fax_number": "318-387-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7699 Highway 2",
            "address_purpose": "LOCATION",
            "city": "Farmerville",
            "state": "LA",
            "postal_code": "712416165",
            "country_code": "US",
            "telephone_number": "318-368-9518",
            "fax_number": "318-368-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.