Warren Dental Group, David M Raiffe, DDS, Mba, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019625 Issued in OH

Legal business name

WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC

Practice address

1019 N Park Ave
Warren, OH 44483-3725

Phone

(330) 395-3820

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

David M Raiffe, DDSNPI 1174829287

Title

Owner/Dentist

Phone

(330) 395-3820

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• David Mark Raiffe, DDS

  • Dentist
  • Akron, OH
  • NPI 1174829287

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1013250026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 ROYAL PORTRUSH DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N PARK AVE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833725",
            "telephone_number": "330-395-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "RAIFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "330-395-3820",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "019625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0963631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David William Wargelin, DDS
• Crystal Rose Warner, LPN
• Warren City Auditor
• Warren City School District
• Warren Dental Associates, Jeffrey S. Rosenthal, D.D.S., Inc.
• Warren Dermatology and Mohs Surgery LLC.
• Warren Dialysis Center LLC
• Warren Endovascular Associates LLC
• Warren Eye Clinic Inc
• Warren Family Chiropractic & Physical Therapy, LLC

• General Practice Dentistry in Warren, OH
• Providers in Warren, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.