Organization Active NPI

Raymond a. Jokubaitis, D.M.D., P.a.

  • General Practice Dentistry
  • Mount Holly, NC
National Provider Identifier
1639341225
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5816 Issued in NC
Legal business name
RAYMOND A. JOKUBAITIS, D.M.D., P.A.
Practice address
126 W Charlotte Ave
Mount Holly, NC 28120-1776
Phone
(704) 827-8446
Fax
(704) 822-1069
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Raymond A. Jokubaitis, D.M.D.
Title
President
Phone
(704) 827-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5816 NC Primary

Addresses

Primary practice location

126 W Charlotte Ave
Mount Holly, NC 28120-1776

Mailing address

126 W Charlotte Ave
Mount Holly, NC 28120-1776
Phone (704) 827-8446

National Provider Directory

National Provider Directory

Locations

126 W Charlotte Ave
Mount Holly, NC 28120
Phone (704) 827-8446

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1639341225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W CHARLOTTE AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201776",
            "telephone_number": "704-827-8446",
            "fax_number": "704-822-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W CHARLOTTE AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201776",
            "telephone_number": "704-827-8446",
            "fax_number": "704-822-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A. JOKUBAITIS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "JOKUBAITIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-827-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.