Active NPI
Raymond Curtis Branch, D.M.D.
- General Practice Dentistry
- Lewisburg, TN
National Provider Identifier
1992923338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9402
- Practice address
- 302 W Church St
Lewisburg, TN 37091-2730 - Phone
- (931) 359-6154
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3280-03 | MS | |
| General Practice Dentistry | 1223G0001X | 9402 | TN | Primary |
Addresses
Primary practice location
302 W Church St
Lewisburg, TN 37091-2730
Mailing address
302 W Church St
Lewisburg, TN 37091-2730
Phone (931) 359-6154
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 |
|---|---|---|---|
| 3280-03 | MS | MD | General Practice Dentistry |
| 9402 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewisburg Smile Studio | Current | Accepting new patients |
Locations
302 W Church St
Lewisburg, TN 37091
Phone (931) 359-6154
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lewisburg, TN
- NPI 1003669912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1992923338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W CHURCH ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912730",
"telephone_number": "931-359-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W CHURCH ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912730",
"telephone_number": "931-359-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "RAYMOND",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3280-03",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "9402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.