Dominic John Raymond II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2703 Issued in WV

Practice address

56 Mileground Rd
Suite a
Morgantown, WV 26505-3803

Phone

(304) 296-2273

Fax

(304) 296-0825

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1730270257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MILEGROUND RD",
            "address_2": "SUITE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053803",
            "telephone_number": "304-296-2273",
            "fax_number": "304-296-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MILEGROUND RD",
            "address_2": "SUITE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053803",
            "telephone_number": "304-296-2273",
            "fax_number": "304-296-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "DOMINIC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2703",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023559L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133055000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Ray
• Ralph Edward Raybeck, MA, LCSW, AADC
• Bryan D Raybuck, M.D.
• Meghan Raygor
• Susan Raylman
• Jacob E Raymond, MA, LPC
• Seyedeh Maryam Razmi, DDS
• Thomas Frank Razmus, DDS
• Anthony Realini, M.D.
• Emily Reams, OTR/L

• General Practice Dentistry in Morgantown, WV
• Providers in Morgantown, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.