Organization Active NPI

Raymond R. Hancock, D.D.S.

  • Prosthodontics
  • Marlton, NJ
National Provider Identifier
1619996642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI00934900 Issued in NJ
Legal business name
RAYMOND R. HANCOCK, D.D.S.
Practice address
475 Old Marlton Pike W
Marlton, NJ 08053-2098
Phone
(856) 983-3880
Fax
(856) 985-9064
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond R. Hancock, D.D.S.
Title
Prosthodontist
Phone
(856) 983-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 22DI00934900 NJ Primary

Addresses

Primary practice location

475 Old Marlton Pike W
Marlton, NJ 08053-2098

Mailing address

475 Old Marlton Pike W
Marlton, NJ 08053-2098
Phone (856) 983-3880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619996642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532098",
            "telephone_number": "856-983-3880",
            "fax_number": "856-985-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532098",
            "telephone_number": "856-983-3880",
            "fax_number": "856-985-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND R. HANCOCK, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "856-983-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI00934900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.