Active NPI
Linda Patricia Rafferty, D.D.S.
- Pediatric Dentistry
- Roseville, CA
National Provider Identifier
1366448524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 37726
- Practice address
- 2520 Douglas Blvd
Ste 130
Roseville, CA 95661-3993 - Phone
- (916) 782-2278
- Fax
- (916) 782-2270
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 37726 | CA | Primary |
Addresses
Primary practice location
2520 Douglas Blvd
Ste 130
Roseville, CA 95661-3993
Mailing address
9622 Endsleigh CT
Granite Bay, CA 95746-6648
Phone (916) 782-7233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37726 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard B Knight DDS Ms Inc | Past | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Roseville, CA
- NPI 1790320265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1366448524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9622 ENDSLEIGH CT",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466648",
"telephone_number": "916-782-7233",
"fax_number": "916-782-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 DOUGLAS BLVD",
"address_2": "STE 130",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613993",
"telephone_number": "916-782-2278",
"fax_number": "916-782-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "LINDA",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "37726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Radiological Associates of Sacramento Medical Group Inc
- Radiological Associates of Sacramento Medical Group Inc
- Radiological Associates of Sacramento Medical Group Inc
- Radiological Associates of Sacramento Medical Group Inc
- Adrian Radu, DDS
- Parthassarathy Chetlur Raguram, MD,MRCPI,FASN
- Rahma Physicians
- Rai Care Centers of Northern California I, LLC
- Rai Care Centers of Northern California I, LLC
- Fatehajit S Rai
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.