Brian Michael Raskin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036815 Issued in NY

Practice address

200 Garden City PLZ
Suite 101
Garden City, NY 11530-3301

Phone

(516) 825-1100

Fax

(516) 825-1258

NPI assigned

Sep 22, 2006

Last updated

Aug 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garden City Dentistry PC

  • General Practice Dentistry
  • Garden City, NY
  • NPI 1366339517
  NPD (past)
• Garden City Plaza Dentistry PC

  dba Advanced DDS

  • General Practice Dentistry
  • Garden City, NY
  • NPI 1861389090
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1255431292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLZ",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303301",
            "telephone_number": "516-825-1100",
            "fax_number": "516-825-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLZ",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303301",
            "telephone_number": "516-825-1100",
            "fax_number": "516-825-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKIN",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Garden City, NY
• Providers in Garden City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.