Organization Active NPI

Raphael Liy DDS LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Trinity, FL
National Provider Identifier
1366038499
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RAPHAEL LIY DDS LLC
Practice address
1822 Health Care Dr BLDG 6
Trinity, FL 34655-5362
Phone
(727) 848-5525
NPI assigned
Dec 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. Raphael Liy, DDSNPI 1841742319
Title
Manager
Phone
(727) 848-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1822 Health Care Dr BLDG 6
Trinity, FL 34655-5362

Mailing address

1822 Health Care Dr BLDG 6
Trinity, FL 34655-5362
Phone (727) 848-5525

National Provider Directory

National Provider Directory

Locations

1822 Health Care Dr
Bldg 6
Trinity, FL 34655
Phone (727) 848-5525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1366038499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 HEALTH CARE DR BLDG 6",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555362",
            "telephone_number": "727-848-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 HEALTH CARE DR BLDG 6",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555362",
            "telephone_number": "727-848-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL LIY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LIY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-848-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.