Organization Active NPI

Priyadarshini Raju DMD PLLC

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1639928989
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PRIYADARSHINI RAJU DMD PLLC
Practice address
1783 W Williams St
Apex, NC 27523-9315
Phone
(617) 899-5217
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Priyadarshini Raju, DMDNPI 1063821361
Title
Member
Phone
(617) 899-5217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1783 W Williams St
Apex, NC 27523-9315

Mailing address

703 Toulouse CT
Cary, NC 27519-6754
Phone (617) 899-5217

National Provider Directory

National Provider Directory

Locations

1783 W Williams St
Apex, NC 27523
Phone (617) 899-5217

Practitioners & affiliated clinicians

Practitioners 1

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": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1639928989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 TOULOUSE CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196754",
            "telephone_number": "617-899-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 W WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275239315",
            "telephone_number": "617-899-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYADARSHINI RAJU DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "PRIYADARSHINI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-899-5217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.