Active NPI
Hedley Rakusin
- Endodontics
- Dallas, TX
National Provider Identifier
1427053040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14886
- Practice address
- 11910 Greenville Ave
Ste 110
Dallas, TX 75243-3564 - Phone
- (972) 644-1162
- Fax
- (972) 783-6660
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14886 | TX | Primary |
Addresses
Primary practice location
11910 Greenville Ave
Ste 110
Dallas, TX 75243-3564
Mailing address
11910 Greenville Ave
Ste 110
Dallas, TX 75243-3564
Phone (972) 644-1162
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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 7, 2018 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14886 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murat Ayik DDS PLLC | Endodontics | Past | Accepting new patients |
| Dallas Endodontics, P.a. | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Dallas, TX
- NPI 1902954472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1427053040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11910 GREENVILLE AVE",
"address_2": "STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433564",
"telephone_number": "972-644-1162",
"fax_number": "972-783-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11910 GREENVILLE AVE",
"address_2": "STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433564",
"telephone_number": "972-644-1162",
"fax_number": "972-783-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKUSIN",
"first_name": "HEDLEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "14886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.