Raymondville Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30177 Issued in TX

Legal business name

RAYMONDVILLE DENTAL

Practice address

957 E Hidalgo Ave
Ste. # B2
Raymondville, TX 78580-4149

Phone

(956) 699-3999

Fax

(956) 699-3901

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Robert Sullivan, DDS

Title

Owner

Phone

(956) 699-3999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1538606595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 E HIDALGO AVE",
            "address_2": "STE. # B2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804149",
            "telephone_number": "956-699-3999",
            "fax_number": "956-699-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 E HIDALGO AVE",
            "address_2": "STE. # B2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804149",
            "telephone_number": "956-699-3999",
            "fax_number": "956-699-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMONDVILLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-699-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plan Behavioral Center LLC
• Alexis Rae Ramirez, SLP-A
• Irene C Ramirez, FNP
• Yuliana Ramos, PA-C
• Raymondville Adult Day Care LLC
• Raymondville Family Dentistry
• Raymondville Family Pharmacy LLP
• Raymondville Family Pharmacy LLP
• Raymondville Isd
• Raymondville Isd Health Clinic

• General Practice Dentistry in Raymondville, TX
• Providers in Raymondville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.