Eileen Raywood, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12008819 Issued in IN

Practice address

3405 W Purdue Ave
Muncie, IN 47304-5268

Phone

(765) 288-1902

Fax

(765) 288-3829

NPI assigned

Oct 16, 2006

Sex

Female

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

Practice roles

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.

• J Gregg Ortho LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Muncie, IN
  • NPI 1386232791
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285714089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045268",
            "telephone_number": "765-288-1902",
            "fax_number": "765-288-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045268",
            "telephone_number": "765-288-1902",
            "fax_number": "765-288-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYWOOD",
        "first_name": "EILEEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12008819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Allen Ratledge
• Janet Sue Ratliff
• Anand Kumar Ravi, MD
• Alyssa Marie Ray
• Raymond S Nanko MD
• Stephanie A Reagan, NP
• Recoup Home Healthcare Services, LLC
• Adam Edward Rector, D.D.S.
• Bruce A Rector, LCSW
• Bryan Rector, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Muncie, IN
• Providers in Muncie, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• 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.

Verify at the official NPI Registry.