Active NPI
Thomas E Raines, DDS
- Dentist
- Laramie, WY
National Provider Identifier
1326203290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 564
- Practice address
- 204 McCollum Drive
Suite 202
Laramie, WY 82070 - Phone
- (307) 745-8016
- Fax
- (307) 745-7913
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 564 | WY | Primary |
Addresses
Primary practice location
204 McCollum Drive
Suite 202
Laramie, WY 82070
Mailing address
204 McCollum Drive
Suite 202
Laramie, WY 82070
Phone (307) 745-8016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 564 | WY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1326203290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MCCOLLUM DRIVE",
"address_2": "SUITE 202",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-745-8016",
"fax_number": "307-745-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MCCOLLUM DRIVE",
"address_2": "SUITE 202",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-745-8016",
"fax_number": "307-745-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.