Organization Active NPI

Dominic J. Raymond II, DDS, PLLC

  • General Practice Dentistry
  • Morgantown, WV
National Provider Identifier
1619859568
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOMINIC J. RAYMOND II, DDS, PLLC
Doing business as
Dr Dominic J. Raymond II
Practice address
1554 Mileground Rd Ste a
Morgantown, WV 26505-3711
Phone
(304) 296-2273
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Pam Draper
Title
VP of Operations
Phone
(602) 391-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1554 Mileground Rd Ste a
Morgantown, WV 26505-3711

Mailing address

1554 Mileground Rd Ste a
Morgantown, WV 26505-3711
Phone (304) 296-2273

Other names 1

  • Dr Dominic J. Raymond II Doing business as

National Provider Directory

National Provider Directory

Locations

1554 Mileground Rd
Unit A
Morgantown, WV 26505
Phone (304) 282-2825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1619859568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 MILEGROUND RD STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053711",
            "telephone_number": "304-296-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 MILEGROUND RD STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053711",
            "telephone_number": "304-296-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC J. RAYMOND II, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "602-391-4086"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Dominic J. Raymond II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.