NPIMap

Organization Active NPI

Raynor Dental PLLC

  • General Practice Dentistry
  • Keene, NH
National Provider Identifier
1669701272
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3727 Issued in NH
Legal business name
RAYNOR DENTAL PLLC
Practice address
650 Court St
Unit 4
Keene, NH 03431-1799
Phone
(603) 352-0006
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Dr. Jason R Raynor, DMD
Title
Dentist
Phone
(603) 352-0006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3727 NH Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

650 Court St
Unit 4
Keene, NH 03431-1799

Mailing address

650 Court St
Unit 4
Keene, NH 03431-1799
Phone (603) 352-0006

Other identifiers 1

IdentifierTypeStateIssuer
1184119075OtherNPI

Other names 1

  • Jason and Stephanie Raynor DMD Former legal business name

National Provider Directory

National Provider Directory

Locations

650 Court St
Ste 4
Keene, NH 03431
Phone (603) 352-0006

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1669701272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COURT ST",
            "address_2": "UNIT 4",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311799",
            "telephone_number": "603-352-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COURT ST",
            "address_2": "UNIT 4",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311799",
            "telephone_number": "603-352-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNOR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-352-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3727",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184119075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason and Stephanie Raynor DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jason and Stephanie Raynor DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.