NPIMap

Organization Active NPI

Nicholas Raklios, DDS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spokane, WA
National Provider Identifier
1154065076
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NICHOLAS RAKLIOS, DDS, PLLC
Practice address
10121 N Nevada St Ste 201
Spokane, WA 99218-3120
Phone
(509) 443-5597
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Stephanie Ann Jones
Title
Account Manager
Phone
(541) 508-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10121 N Nevada St Ste 201
Spokane, WA 99218-3120

Mailing address

10121 N Nevada St Ste 201
Spokane, WA 99218-3120
Phone (509) 443-5597

Other names 1

  • Dabell and Paventy Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicholas Raklios DDS PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10121 N Nevada St
Ste 201
Spokane, WA 99218
Phone (509) 381-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1154065076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 N NEVADA ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183120",
            "telephone_number": "509-443-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 N NEVADA ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183120",
            "telephone_number": "509-443-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS RAKLIOS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "541-508-5933"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dabell and Paventy Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.