NPIMap

Individual provider Active NPI

Christen Simpson Raynes, DDS, MBA

  • General Practice Dentistry
  • Charleston, WV
National Provider Identifier
1336222116
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3711 Issued in WV
Practice address
400 Allen Drive, Suite 300
Charleston, WV 25302
Phone
(304) 342-6162
Fax
(304) 342-8309
NPI assigned
Oct 23, 2006
Last updated
Oct 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV3711 WV
General Practice Dentistry 1223G0001X 3711 WV Primary

Addresses

Primary practice location

400 Allen Drive, Suite 300
Charleston, WV 25302

Mailing address

400 Allen Drive, Suite 300
Charleston, WV 25302
Phone (304) 342-6162

Other identifiers 2

IdentifierTypeStateIssuer
550538620OtherWVEMPLOYER IDENTIFICATION #
001844461OtherWVBLUE CROSS & BLUE SHIELD

Other names 1

  • Christen Keely Simpson Former name

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
WV3711WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Robert R Simpson Inc Past Accepting new patients
Dr Robert R Simpson Inc General Practice Past Accepting new patients
Dr. Robert R. Simpson, Inc General Practice Past Accepting new patients
Hairston Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1336222116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALLEN DRIVE, SUITE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-342-6162",
            "fax_number": "304-342-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALLEN DRIVE, SUITE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-342-6162",
            "fax_number": "304-342-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNES",
        "first_name": "CHRISTEN",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "credential": "DDS, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV3711",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "550538620",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "001844461",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEN",
            "last_name": "SIMPSON",
            "middle_name": "KEELY",
            "credential": "DDS, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.