NPIMap

Organization Active NPI

Reebye Park & Richman DDS PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cary, NC
National Provider Identifier
1649761602
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
REEBYE PARK & RICHMAN DDS PLC
Practice address
431 Keisler Dr Ste 101
Cary, NC 27518
Phone
(919) 233-0073
Fax
(919) 233-2933
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Andres F Henao
Title
Technical Director
Phone
(919) 563-2897

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X NC
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X NC Primary

Addresses

Primary practice location

431 Keisler Dr Ste 101
Cary, NC 27518

Mailing address

1107 S Fifth St Ste 250
Mebane, NC 27302-9896
Phone (919) 563-2897

Other names 1

  • Triangle Implant Center Cary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reebye Park Richman DDS PLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

431 Keisler Dr
Ste 101
Cary, NC 27518
Phone (919) 233-0073

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1649761602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S FIFTH ST STE 250",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029896",
            "telephone_number": "919-563-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-233-0073",
            "fax_number": "919-233-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEBYE PARK & RICHMAN DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HENAO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "919-563-2897"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Implant Center Cary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triangle Implant Center Cary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.