Individual provider Active NPI

Danielle Rays

  • General Practice Dentistry
  • Blandon, PA
National Provider Identifier
1366146235
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044459 Issued in PA
Practice address
109 Anna Ave
Blandon, PA 19510-9311
Phone
(610) 926-1233
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DS044459 PA Primary

Addresses

Primary practice location

109 Anna Ave
Blandon, PA 19510-9311

Mailing address

355 Lackawanna St Apt 5-3
Reading, PA 19601-1528
Phone (917) 647-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002889 PA Order and Referring Only - DentistPractitioner - Dentist 3779020789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS044459PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman & Schwab, DMD PC General Practice PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1366146235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LACKAWANNA ST APT 5-3",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011528",
            "telephone_number": "917-647-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANNA AVE",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109311",
            "telephone_number": "610-926-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYS",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.