Bobby L Raber DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOBBY L RABER DMD PLLC

Doing business as

Bobby L Raber DMD Pediatric Dentistry

Practice address

7870 E Florentine Rd
Prescott Valley, AZ 86314-2216

Phone

(928) 589-4700

Fax

(928) 589-4701

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt Campbell

Title

Practice Admin

Phone

(928) 308-0539

Specialties & licenses 1

Addresses

Other names 1

• Bobby L Raber DMD Pediatric Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby Lee Raber, DDM

  • Pediatric Dentistry
  • Prescott Valley, AZ
  • NPI 1063466977
  NPD
• Brian Steven Mortenson, DMD

  • Pediatric Dentistry
  • Fort Hood, TX
  • NPI 1083161665
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1548850001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LORRAINE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863054688",
            "telephone_number": "928-848-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142216",
            "telephone_number": "928-589-4700",
            "fax_number": "928-589-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY L RABER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "928-308-0539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@welovethedentist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "400 Lorraine Dr",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863054688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bobby L Raber DMD Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Blackinton, LMT
• Ashly Brook Blackwell, RN
• Darrin Andrews Blake
• Blue Hills Medical LLC
• Bernard Boateng
• Bobby L. Raber DMD, PLLC
• Jennifer Ann Bomicino, MS, LPC
• Claudia Bostick, LPN
• Debra Bour, MS RD
• Jennifer D Bowen, RN

• Dental Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.