Organization Active NPI

Ray M Duke Jr DMD PC

  • General Practice Dentistry
  • Americus, GA
National Provider Identifier
1982710398
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAY M DUKE JR DMD PC
Practice address
626 East Forsyth Street
Americus, GA 31709
Phone
(229) 924-4054
Fax
(229) 924-2290
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. Ray M Duke Jr., DMDNPI 1811154438
Title
Owner Dentist
Phone
(229) 924-4054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

626 East Forsyth Street
Americus, GA 31709

Mailing address

626 East Forsyth Street
Americus, GA 31709
Phone (229) 924-4054

Other identifiers 1

IdentifierTypeStateIssuer
000960176AMedicaidGA

National Provider Directory

National Provider Directory

Locations

626 E Forsyth St
Americus, GA 31709
Phone (229) 924-4054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1982710398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 EAST FORSYTH STREET",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-924-4054",
            "fax_number": "229-924-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 EAST FORSYTH STREET",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-924-4054",
            "fax_number": "229-924-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY M DUKE JR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "229-924-4054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000960176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.