Active NPI
Raphael Liy DDS LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Trinity, FL
National Provider Identifier
1366038499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raphael Liy, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Trinity, FL
- NPI 1841742319
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.