Active NPI
Kelly Caitlyn Prettyman, DDS
- Dentist
- Raleigh, NC
National Provider Identifier
1972882132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9272
- Practice address
- 6837 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-5308 - Phone
- (919) 847-1322
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9272 | NC | Primary |
Addresses
Primary practice location
6837 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-5308
Mailing address
525 Mial St
Raleigh, NC 27608-1817
Phone (919) 332-2120
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 |
|---|---|---|---|
| 9272 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison and Lloyd | Past | Accepting new patients | |
| Ryan T. Griffith, DMD, PA | Past | Accepting new patients | |
| Bruce V. Wainright DDS Magd PA | Dentist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1346468816
-
- Dental Clinic/Center
- Raleigh, NC
- NPI 1215524111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1972882132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MIAL ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081817",
"telephone_number": "919-332-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6837 FALLS OF NEUSE RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155308",
"telephone_number": "919-847-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTYMAN",
"first_name": "KELLY",
"middle_name": "CAITLYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.