Active NPI
Rafael E Torres, DMD
- Dentist
- Greenville, NC
National Provider Identifier
1639220114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8928
- Practice address
- 2446 Emerald PL
Greenville, NC 27834-5784 - Phone
- (252) 756-3313
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN 1000516 | DC | |
| Dentist | 122300000X | 2707 | PR | |
| Dentist | 122300000X | 8928 | NC | Primary |
Addresses
Primary practice location
2446 Emerald PL
Greenville, NC 27834-5784
Mailing address
2446 Emerald PL
Greenville, NC 27834-5784
Phone (252) 756-3313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5915421 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN 1000516 | DC | MD | Dentist |
| 2707 | PR | MD | Dentist |
| 8928 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendez & Torres PLLC | Current | Accepting new patients | |
| Ryan T. Pruitt, D.M.D & Associates P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Mooresville, NC
- NPI 1619738184
-
- General Practice Dentistry
- Greenville, NC
- NPI 1821727520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1639220114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2446 EMERALD PL",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345784",
"telephone_number": "252-756-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 EMERALD PL",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345784",
"telephone_number": "252-756-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "RAFAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN 1000516",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2707",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915421",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.