Active NPI
Nicholas Raklios, DDS, PLLC
Doing business as Timberline Oral Surgery & Dental Implants
- Oral and Maxillofacial Surgery (Dentist)
- Spokane, WA
National Provider Identifier
1225922123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- NICHOLAS RAKLIOS, DDS, PLLC
- Doing business as
- Timberline Oral Surgery & Dental Implants
- Practice address
- 2807 S Stone St Ste 202
Spokane, WA 99223-4904 - Phone
- (623) 267-8121
- NPI assigned
- Jun 5, 2025
- Organization subpart
- Yes
- Parent organization
- NICHOLAS RAKLIOS, DDS, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassandra Wieth
- Title
- Director of Payor Relations
- Phone
- (623) 267-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2807 S Stone St Ste 202
Spokane, WA 99223-4904
Mailing address
2807 S Stone St Ste 202
Spokane, WA 99223-4904
Phone (623) 267-8121
Other names 1
- Timberline Oral Surgery & Dental Implants
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas Raklios DDS PLLC
- Part of
- Nicholas Raklios DDS PLLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dabell and Paventy Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spokane, WA
- NPI 1154065076
-
dba Pristera Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Renton, WA
- NPI 1487222725
-
dba Must Love Kids Pediatric Dentistry
- Pediatric Dentistry
- Vancouver, WA
- NPI 1851268981
Locations
2807 S Stone St
Ste 202
Spokane, WA 99223
Phone (509) 209-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1225922123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 S STONE ST STE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234904",
"telephone_number": "623-267-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 S STONE ST STE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234904",
"telephone_number": "623-267-8121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS RAKLIOS, DDS, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NICHOLAS RAKLIOS, DDS, PLLC",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "WIETH",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "623-267-8121"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Timberline Oral Surgery & Dental Implants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
- Nicholas Parque DDS PLLC (Smiles Of Spokane)
- Nicholas Pearson & Hayden Jones, DDS, PLLC
- Nicholas R Harker PLLC
- Nicholas R. Harker DDS PLLC (MyDentist)
- Nicholas Raklios, DDS, PLLC (Dabell and Paventy Orthodontics)
- Nicholas Soirez, LLC
- Doreen A Nicholas, CCC-SLP
- Samantha Nicholas
- Samantha Nicholas
- Allison Kendall Nichols, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.