Rares Raibulet

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031720 Issued in IL

Practice address

1560 Sherman Ave Ste 902
Evanston, IL 60201-4809

Phone

(847) 864-8151

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• M & R Dental, PLLC

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1558080283
  NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1174972202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 902",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014809",
            "telephone_number": "847-864-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 902",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014809",
            "telephone_number": "847-864-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIBULET",
        "first_name": "RARES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012518A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Rago, MPH
• Parya Rahimi, MD
• Punam Rahman, PSY.D.
• Sophia Rahman
• Nicole Marie Louise Raia, DPT
• Diana Raichici, FNP-C
• Mira Rajani
• Rafique Rajwani, MD
• Michael Kevin Rakotz, MD
• Akshaya Ramachandran, MD

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.