Sidney Adam Raiski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859221 Issued in MA

Practice address

129 Ma-28
West Harwich, MA 02671

Phone

(508) 255-0557

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sidney Raiski-Wilton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1114681939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SUNSET LN",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026301245",
            "telephone_number": "407-227-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MA-28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "02671",
            "telephone_number": "508-255-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISKI",
        "first_name": "SIDNEY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "RAISKI-WILTON",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanne Kelly
• Pauline Linnell
• Heather McGowan, RD, LDN
• Nadia P Groom DMD PC
• Ralph M Porter, M.D.
• Deborah Salant, LICSW
• Brendan Vannatter, D.C.
• Wayne G. Hjerpe
• Gregory T Wright, DC

• Dentist in West Harwich, MA
• Providers in West Harwich, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.