Individual provider Active NPI

Jeffrey Martin Rayl, DDS

  • General Practice Dentistry
  • Castle Rock, CO
National Provider Identifier
1437333762
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6395 Issued in CO
Practice address
858 W Happy Canyon Rd
Ste. 135
Castle Rock, CO 80108-3912
Phone
(719) 599-3999
Fax
(719) 599-4095
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6395 CO Primary

Addresses

Primary practice location

858 W Happy Canyon Rd
Ste. 135
Castle Rock, CO 80108-3912

Mailing address

858 W. Happy Canyon Rd.
Ste. 135
Castle Rock, CO 80108
Phone (719) 599-3999

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

LicenseStateTypeSpecialty
6395COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1437333762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 W. HAPPY CANYON RD.",
            "address_2": "STE. 135",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "719-599-3999",
            "fax_number": "719-599-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 W HAPPY CANYON RD",
            "address_2": "STE. 135",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083912",
            "telephone_number": "719-599-3999",
            "fax_number": "719-599-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYL",
        "first_name": "JEFFREY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.