Individual provider Active NPI

Joshua L Rackham, DMD

  • Dentist
  • San Antonio, TX
National Provider Identifier
1134431315
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27186 Issued in TX
Practice address
7511 S New Braunfels
San Antonio, TX 78235-1074
Phone
(210) 800-8410
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10244 CO
Dentist 122300000X 27186 TX Primary

Addresses

Primary practice location

7511 S New Braunfels
San Antonio, TX 78235-1074

Mailing address

221 E Carolina St
San Antonio, TX 78210-1511
Phone (801) 920-8772

Other practice location 1

2795 Skyline Ct
Grand Junction, CO 81506-3908
Phone (970) 242-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10244COMDDentist
27186TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1134431315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CAROLINA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101511",
            "telephone_number": "801-920-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 S NEW BRAUNFELS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782351074",
            "telephone_number": "210-800-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Skyline Ct",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815063908",
            "country_code": "US",
            "telephone_number": "970-242-3545",
            "fax_number": "970-254-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACKHAM",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10244",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.