Raphael Liy, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN24283 Issued in FL

Practice address

1822 Health Care Dr BLDG 6
Trinity, FL 34655-5362

Phone

(727) 848-5525

NPI assigned

Oct 31, 2016

Last updated

Jan 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Raphael Liy DDS LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Trinity, FL
  • NPI 1366038499
  NPD Authorized official

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1841742319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 HEALTH CARE DR BLDG 6",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555362",
            "telephone_number": "727-848-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 HEALTH CARE DR BLDG 6",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555362",
            "telephone_number": "727-848-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIY",
        "first_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "LL-435-16",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN24283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Carolina Leonardo
• Alec Lerner, MD
• Corey Leskanic, MD
• Linda Velez LLC (Trinity Counseling Services)
• Lindmar Legacy, LLC (La Bella Legacy)
• Emily Ann Logan, PHARM.D.
• Brianna Lyn Lombardo
• Madison Long
• Nikolaos Lontos, MD
• Nakita Louis, APRN

• Orthodontics and Dentofacial Orthopedics Dentistry in Trinity, FL
• Providers in Trinity, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.