Individual provider Active NPI

Cynthia Lee Raines-Hart, DMD

  • Dentist
  • Inman, SC
National Provider Identifier
1609843804
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3373 Issued in SC
Practice address
11631 Asheville Hwy
Suite a
Inman, SC 29349-1855
Phone
(864) 472-8308
Fax
(864) 472-2033
NPI assigned
Mar 7, 2006
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3373 SC Primary

Addresses

Primary practice location

11631 Asheville Hwy
Suite a
Inman, SC 29349-1855

Mailing address

11631 Asheville Hwy
Suite a
Inman, SC 29349-1855
Phone (864) 472-8308

Other identifiers 1

IdentifierTypeStateIssuer
Z33739MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615002646 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193036341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1609843804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 ASHEVILLE HWY",
            "address_2": "SUITE A",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491855",
            "telephone_number": "864-472-8308",
            "fax_number": "864-472-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 ASHEVILLE HWY",
            "address_2": "SUITE A",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491855",
            "telephone_number": "864-472-8308",
            "fax_number": "864-472-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES-HART",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z33739",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

Verify at the official NPI Registry.