NPIMap

Organization Active NPI

Raio Dental, PC

  • General Practice Dentistry
  • Medford, NY
National Provider Identifier
1629365846
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046555 Issued in NY
Legal business name
RAIO DENTAL, PC
Practice address
1739 N Ocean Ave
Suite D
Medford, NY 11763-2683
Phone
(631) 447-8073
Fax
(631) 447-8026
NPI assigned
Jul 8, 2011
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Dean Raio, DDSNPI 1174531115
Title
Owner
Phone
(631) 447-8073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046555 NY Primary

Addresses

Primary practice location

1739 N Ocean Ave
Suite D
Medford, NY 11763-2683

Mailing address

1739 N Ocean Ave
Suite D
Medford, NY 11763-2683
Phone (631) 447-8073

Other identifiers 1

IdentifierTypeStateIssuer
01693241MedicaidNY

National Provider Directory

National Provider Directory

Locations

1739 N Ocean Ave
Ste D
Medford, NY 11763
Phone (631) 447-8073

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1629365846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE",
            "address_2": "SUITE D",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-447-8073",
            "fax_number": "631-447-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE",
            "address_2": "SUITE D",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-447-8073",
            "fax_number": "631-447-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIO DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "RAIO",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-447-8073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.