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Deactivated NPI 1497756985 Deactivated / Inactive NPI Male Practitioner

Dr. Raymond A. Lacy , DDS

Dentist - General Practice • Arcata, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raymond Lacy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Lacy, DDS was a registered Dentist - General Practice practicing in Arcata, CA. Throughout an active medical career spanning 1 years, Dr. Lacy provided care at the practice location at 791 BAYSIDE RD until profile deactivation on 2006-03-22.

Practice Location & Contact Primary Location

Practice Address

791 Bayside Rd
Suite 2

Arcata, CA 955216723

Telephone 7078224826
Fax 7078227467

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Arcata, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Arcata, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 22902

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alberto Taylor

Dentist - General Practice

NPI 1851582407

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location January 09, 2008

Registered at 791 BAYSIDE RD, SUITE 2, ARCATA, CA 955216723 (Tel: 7078224826)

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Updated Business Mailing Address January 09, 2008

Registered at 791 BAYSIDE RD, SUITE 2, ARCATA, CA 955216723 (Tel: 7078224826)

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Provider Name / Credentials Updated January 09, 2008

Recorded as RAYMOND LACY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2008

Dentist (License #22902 in CA)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

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Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497756985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: January 09, 2008
Deactivation Date: March 22, 2006
Sole Proprietor: Yes

Mailing Address

791 Bayside Rd, Suite 2

Arcata, CA 955216723

Phone: 7078224826

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.