NPIMap

Organization Active NPI

Donald a Raabe, DDS, Inc.

  • Periodontics
  • Fairlawn, OH
National Provider Identifier
1366630014
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30013959 Issued in OH
Legal business name
DONALD A RAABE, DDS, INC.
Practice address
33 Baker Blvd
Suite 201
Fairlawn, OH 44333-3650
Phone
(330) 836-9341
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Donald Arthur Raabe, DDSNPI 1871531657
Title
Owner
Phone
(330) 836-9341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 30013959 OH Primary

Addresses

Primary practice location

33 Baker Blvd
Suite 201
Fairlawn, OH 44333-3650

Mailing address

33 Baker Blvd
Suite 201
Fairlawn, OH 44333-3650

National Provider Directory

National Provider Directory

Locations

33 Baker Blvd
Ste 201
Fairlawn, OH 44333
Phone (330) 836-9341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1366630014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAKER BLVD",
            "address_2": "SUITE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BAKER BLVD",
            "address_2": "SUITE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333650",
            "telephone_number": "330-836-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A RAABE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "RAABE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-836-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30013959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.