Active NPI
Bobby Carlyle Raynor, DDS
- General Practice Dentistry
- Garner, NC
National Provider Identifier
1730200072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3216
- Practice address
- 1018 Hwy 70 West
Building 2 102
Garner, NC 27529-0365 - Phone
- (919) 772-5991
- Fax
- (919) 773-1501
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3216 | NC | Primary |
Addresses
Primary practice location
1018 Hwy 70 West
Building 2 102
Garner, NC 27529-0365
Mailing address
PO Box 365
1018 Highway 70 West Building 2 102
Garner, NC 27529-0365
Phone (919) 772-5991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3216 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730200072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"address_2": "1018 HIGHWAY 70 WEST BUILDING 2 102",
"city": "GARNER",
"state": "NC",
"postal_code": "275290365",
"telephone_number": "919-772-5991",
"fax_number": "919-773-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 HWY 70 WEST",
"address_2": "BUILDING 2 102",
"city": "GARNER",
"state": "NC",
"postal_code": "275290365",
"telephone_number": "919-772-5991",
"fax_number": "919-773-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "BOBBY",
"middle_name": "CARLYLE",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.