David Jacob Raphael, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9732 Issued in OR

Practice address

2323 NW Westover Rd
Portland, OR 97210-3524

Phone

(503) 893-2889

NPI assigned

Apr 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. David Jacob Richman-Raphael Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Portland Children'S Dentistry, LLC

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1225458441
  NPD (past) Authorized official

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1104142900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NW WESTOVER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103524",
            "telephone_number": "503-893-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NW WESTOVER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103524",
            "telephone_number": "503-893-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 60257230",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "RICHMAN-RAPHAEL",
            "middle_name": "JACOB",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priya Rao
• Sachin Dev Rao
• Amanda Rapaport, FNP-C
• Sara Rapaport
• Anna L Raphael, M.D.
• Rachel Raphael
• Ravid M Raphael, D.C.
• Samantha Marie Raphael, PA-C
• Grady Venson Rapier III, LDO
• Elizabeth M. Rapkoch, PSY.D.

• Pediatric Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.