Raymond E La Vigne, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1916118 Issued in IL

Practice address

637 N 1St Bank Dr
Palatine, IL 60067-8111

Phone

(847) 359-1292

Fax

(847) 359-1296

NPI assigned

Jan 4, 2007

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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.

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619024221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-359-1292",
            "fax_number": "847-359-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-359-1292",
            "fax_number": "847-359-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA VIGNE",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1916118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Antonietta Kunz, LCSW
• Kwon Dental Care, P.C.
• James Ikjae Kwon, D.D.S.
• Lydia Ikjae Kwon, OTR
• Laura Kyger, M.S.
• Rachel L Lacheta, LPC
• Elvin Lama Sosa, DPT
• Lamhe Chiropractic LLC
• Tracy Ann Lanier, MSW, LCSW
• Lanson Dental P.C.

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, IL by specialty
• General Practice Dentistry in Illinois

• 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.

Verify at the official NPI Registry.