Active NPI
Joshua L Rackham, DMD
- Dentist
- San Antonio, TX
National Provider Identifier
1134431315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27186
- Practice address
- 7511 S New Braunfels
San Antonio, TX 78235-1074 - Phone
- (210) 800-8410
- NPI assigned
- Jul 5, 2010
- Last updated
- Jun 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10244 | CO | MD | Dentist |
| 27186 | TX | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.