Individual provider Active NPI

Raymond Bliss Parker Jr., D.M.D.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1710172846
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5975 Issued in NC
Practice address
7509 Six Forks Rd
Raleigh, NC 27615-5020
Phone
(919) 847-5959
Fax
(919) 844-9341
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5975 NC Primary

Addresses

Primary practice location

7509 Six Forks Rd
Raleigh, NC 27615-5020

Mailing address

7509 Six Forks Rd
Raleigh, NC 27615-5020
Phone (919) 847-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629000194 NC Order and Referring Only - DentistPractitioner - Dentist 1951723519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5975NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1710172846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155020",
            "telephone_number": "919-847-5959",
            "fax_number": "919-844-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155020",
            "telephone_number": "919-847-5959",
            "fax_number": "919-844-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RAYMOND",
        "middle_name": "BLISS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.