Individual provider Active NPI

Raymond W Kaercher, D.D.S., M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • Helotes, TX
National Provider Identifier
1336122886
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
21578 Issued in TX
Practice address
12274 Bandera Rd
Suite 221
Helotes, TX 78023-4385
Phone
(210) 695-5004
Fax
(210) 695-1661
NPI assigned
Nov 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 21578 TX Primary

Addresses

Primary practice location

12274 Bandera Rd
Suite 221
Helotes, TX 78023-4385

Mailing address

12274 Bandera Rd
Suite 221
Helotes, TX 78023-4385
Phone (210) 695-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 12, 2011 through Jul 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21578TXMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Smile Oral Surgery of Alamo Ranch, PLLC PastSince May 19, 2024 Accepting new patients

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336122886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12274 BANDERA RD",
            "address_2": "SUITE 221",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234385",
            "telephone_number": "210-695-5004",
            "fax_number": "210-695-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12274 BANDERA RD",
            "address_2": "SUITE 221",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234385",
            "telephone_number": "210-695-5004",
            "fax_number": "210-695-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAERCHER",
        "first_name": "RAYMOND",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "21578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.