Individual provider Active NPI

Raney James Deschenes, D.M.D.

  • Endodontics
  • Washington,, DC
National Provider Identifier
1629056676
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15045 Issued in MA
Practice address
Comdt(CG-1122), US Coast Guard
2100 2ND St. SW, Suite 5314
Washington,, DC 20593
Phone
(202) 267-0801
Fax
(202) 326-7468
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 15045 MA Primary

Addresses

Primary practice location

Comdt(CG-1122), US Coast Guard
2100 2ND St. SW, Suite 5314
Washington,, DC 20593

Mailing address

Comdt(CG-1122), US Coast Guard
2100 2ND St. SW, Suite 5314
Washington,, DC 20593
Phone (202) 267-0801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151222000273 MD Order and Referring Only - DentistPractitioner - Dentist 5799086419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15045MAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629056676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMDT(CG-1122), US COAST GUARD",
            "address_2": "2100 2ND ST. SW, SUITE 5314",
            "city": "WASHINGTON,",
            "state": "DC",
            "postal_code": "20593",
            "telephone_number": "202-267-0801",
            "fax_number": "202-326-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMDT(CG-1122), US COAST GUARD",
            "address_2": "2100 2ND ST. SW, SUITE 5314",
            "city": "WASHINGTON,",
            "state": "DC",
            "postal_code": "20593",
            "telephone_number": "202-267-0801",
            "fax_number": "202-326-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENES",
        "first_name": "RANEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "15045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington,, DC

Sources for this page

Verify at the official NPI Registry.