KRISTAL DEANN RAYA (NPI# 1972005262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972005262 |
| Entity Type | Individual |
| Full Name | KRISTAL DEANN RAYA |
| Credential | DMD |
| Practice Address |
2475 Broadway Bluffs Dr Columbia MO 65201-8148 |
| Mailing Address |
1001 W Worley St Columbia MO 65203-2037 |
| Practice Telephone | 5737779282 |
| Practice Fax Number | 5737779569 |
| Mailing Telephone | 5732142314 |
| Mailing Fax Number | 5736072885 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2020004207 | MO | Dental Providers |
| Street Address |
2475 BROADWAY BLUFFS DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543932 | Sujatha Sekar Sivaraman | Dentist | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2005-10-26 |
| 1245868579 | David Kim | Student in an Organized Health Care Education/Training Program | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2020-03-31 |
| 1073978664 | Compass Health, Inc. | Clinic/Center | 2475 Broadway Bluffs Dr, Suite 200, Columbia, MO 65201-8138 | 2015-12-23 |
| 1992187843 | Compass Health, Inc. | Clinic/Center | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2015-06-26 |
| 1609114214 | Labone LLC | Clinical Medical Laboratory | 2475 Broadway Bluffs Dr, Ste 120, Columbia, MO 65201-8138 | 2013-01-17 |
| 1275883290 | Darla K Despain | Nurse Practitioner | 2475 Broadway Bluffs Dr, Columbia, MO 65201 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1528585924 | Carolina Orthodontics and Pediatric Dentistry | Dentist | 921 Longtown Rd Ste B, Columbia, SC 29229-9498 | 2017-08-25 |
| 1154733509 | Carol Nixon | Dentist | 927 N. James Campbell Blvd, Suite 106, Bldg 1, Columbia, TN 38401 | 2014-05-20 |
| 1700151768 | Columbia Dentistry for Children | Dentist | 1000 W Nifong Blvd Ste 6-130, Columbia, MO 65203-5607 | 2012-03-09 |
| 1598094138 | Northeast Childrens Dentistry | Dentist | 147 Summit Centre Dr., Columbia, SC 29229 | 2009-12-10 |
| 1427176916 | B. Casey Crafton | Dentist | 10380 Old Columbia Rd Ste 102, Columbia, MD 21046-2005 | 2007-03-26 |
| 1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
| 1639259047 | Robert Dale Coyle | Dentist | 1000 N Nifong, Bldg 6 Suite 130, Columbia, MO 65203 | 2006-10-17 |
| 1770678526 | Heather Huntley Owens | Dentist | 1706 Wedgewood Dr, Columbia, TN 38401-3527 | 2006-10-04 |
| 1770513293 | Lori Henderson | Dentist | 1506 Chapel Hill Rd Ste B, Columbia, MO 65203-5504 | 2006-07-03 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.