Raymond H Layne Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

006876 Issued in FL

Practice address

19606 State Road 20 W
Blountstown, FL 32424-3916

Phone

(850) 674-5502

Fax

(850) 674-9790

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Layne & Barth Family Dentistry, PA

  • General Practice Dentistry
  • Blountstown, FL
  • NPI 1326360397
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790835650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4007",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324244007",
            "telephone_number": "850-674-5502",
            "fax_number": "850-674-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19606 STATE ROAD 20 W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324243916",
            "telephone_number": "850-674-5502",
            "fax_number": "850-674-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "RAYMOND",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "006876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie R Land
• Larae Christine Lauray
• Layne & Barth Family Dentistry, PA
• Brad Spencer Layne, DDS
• Chesnee Layne
• Courtney Rebecca Lewis, COTA
• Kristen C Lewis
• Vanessa Gammill Lickson, APRN
• Life Management Center of Northwest Florida Inc
• Cindy Lollie

• General Practice Dentistry in Blountstown, FL
• Providers in Blountstown, FL by specialty
• General Practice Dentistry in Florida

• 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.

Verify at the official NPI Registry.