Rayyan Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAYYAN DENTAL PLLC

Practice address

149 N Virginia St
Crystal Lake, IL 60014-3400

Phone

(815) 444-6444

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Adrian Rayyan, DMDNPI 1427760305

Title

Owner

Phone

(847) 790-4177

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Crystal Lake Doing business as

Locations

Practitioners 1

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

• Adrian Rayyan, DMD

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1427760305
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1699599688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143400",
            "telephone_number": "815-444-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143400",
            "telephone_number": "815-444-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYYAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "RAYYAN",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-790-4177",
        "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": [
        {
            "organization_name": "Family Dentistry of Crystal Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Rasmussen
• Sapna S. Rathi, M.D.
• Kathryn Rau
• Morgan Nicole Rau
• Abhirami Ravichandran
• Adrian Rayyan, DMD
• Rci (WRS), LLC
• Real Life Counseling, PLLC
• Reasons Health, PLLC
• Rebecca Ciesla, LLC

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.