Raina Pike, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015434 Issued in GA

Practice address

804 Town Blvd NE Ste 2010
Brookhaven, GA 30319-3147

Phone

(404) 631-6277

NPI assigned

Jul 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Town Dentistry Brookhaven, LLC

  • General Practice Dentistry
  • Brookhaven, GA
  • NPI 1780456301
  NPD

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1467973206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HARTS MILL RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191815",
            "telephone_number": "229-392-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 TOWN BLVD NE STE 2010",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193147",
            "telephone_number": "404-631-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "RAINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachelle Pierre, SLP
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• Kallie Alesch Platt, CPNP-AC
• Playful Progressions LLC

• General Practice Dentistry in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.