Active NPI
Raymond Rawson
- Dentist
- Las Vegas, NV
National Provider Identifier
1487779336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0588
- Practice address
- 351 N Buffalo Dr Ste a
Las Vegas, NV 89145-0301 - Phone
- (702) 869-0511
- Fax
- (702) 869-0540
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0588 | NV | Primary |
Addresses
Primary practice location
351 N Buffalo Dr Ste a
Las Vegas, NV 89145-0301
Mailing address
2217 Scarlet Rose Dr
Las Vegas, NV 89134-5905
Phone (702) 838-4562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0588 | NV | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487779336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 SCARLET ROSE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891345905",
"telephone_number": "702-838-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 N BUFFALO DR STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891450301",
"telephone_number": "702-869-0511",
"fax_number": "702-869-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWSON",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "0588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.