Active NPI
Cayla Lyn Ray, DMD
- Pediatric Dentistry
- Pawleys Island, SC
National Provider Identifier
1962069302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10309
- Practice address
- 34 Business Center Dr
Pawleys Island, SC 29585-7963 - Phone
- (843) 235-0536
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10309 | SC | Primary |
Addresses
Primary practice location
34 Business Center Dr
Pawleys Island, SC 29585-7963
Mailing address
1009 Parsons Pond Dr
Myrtle Beach, SC 29588-9500
Phone (724) 600-5016
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 |
|---|---|---|---|
| 10309 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1962069302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 PARSONS POND DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295889500",
"telephone_number": "724-600-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BUSINESS CENTER DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857963",
"telephone_number": "843-235-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "CAYLA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "10309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.