Individual provider Active NPI

Gary Martin Raska, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sarasota, FL
National Provider Identifier
1013920669
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN18583 Issued in FL
Practice address
3940 Swift Rd
Sarasota, FL 34231-6541
Phone
(941) 923-0033
Fax
(941) 922-4621
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 08388 IA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN18583 FL Primary

Addresses

Primary practice location

3940 Swift Rd
Sarasota, FL 34231-6541

Mailing address

3940 Swift Rd
Sarasota, FL 34231-6541
Phone (941) 923-0033

Other identifiers 2

IdentifierTypeStateIssuer
0493114MedicaidIA
000169002OtherMOPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 15, 2015 through Dec 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18583FLMDOral and Maxillofacial Surgery (Dentist)
08388IAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W. Noble, DMD, PC Oral and Maxillofacial Surgery Past Accepting new patients
William a. Gray, D.M.D., LLC Oral and Maxillofacial Surgery PastSince Mar 18, 2019 Accepting new patients
Implantis Oral & Facial Surgery, PA Oral and Maxillofacial Surgery Past Accepting new patients
Vision Surgical Arts, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1013920669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316541",
            "telephone_number": "941-923-0033",
            "fax_number": "941-922-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316541",
            "telephone_number": "941-923-0033",
            "fax_number": "941-922-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKA",
        "first_name": "GARY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "08388",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493114",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000169002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.