Raquel Ann Kafentzis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60237121 Issued in WA

Practice address

1426 Fowler St
Richland, WA 99352-4717

Phone

(855) 433-6825

NPI assigned

Sep 29, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Willamette Dental Group, P.C.

  • Dentist
  • Richland, WA
  • NPI 1417872870
  NPD (past)
• Hermiston Dental Group

  • General Practice Dentistry
  • Hermiston, OR
  • NPI 1356511158
  NPD (past)

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366726176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "855-433-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524717",
            "telephone_number": "855-433-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 SW 11th St",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978382108",
            "country_code": "US",
            "telephone_number": "541-567-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 SW 11th St",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978382108",
            "country_code": "US",
            "telephone_number": "541-567-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAFENTZIS",
        "first_name": "RAQUEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9650",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60237121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadlec Regional Medical Center
• Kadlec Regional Medical Center
• Kadlec Regional Medical Center (Kadlec Regional Medical Center - Rehab Unit)
• Kadlec Regional Medical Center (Kadlec Ambulatory Endoscopy Center, Lee Campus)
• Kadlec Regional Medical Center
• Prabhjot K Kahlon, M.D.
• Rebecca Rose Kalakewich, ARNP
• Ketan Arun Kale, MD
• William David Kalichman, M.D.
• Gregory Kamo, MD

• General Practice Dentistry in Richland, WA
• Providers in Richland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.