Wendell Alan Racette, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901010020 Issued in MI

Practice address

117 S Kinney Ave
Mt Pleasant, MI 48858-2702

Phone

(989) 773-2133

NPI assigned

Jun 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Mt Pleasant Family Dental Center PC

  • Dentist
  • Mt Pleasant, MI
  • NPI 1982714390
  NPD (past)
• Thomas J McDonald DDS PC

  • Dental Clinic/Center
  • Mount Pleasant, MI
  • NPI 1366896490
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1427285246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 OLD OAK CT",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175119",
            "telephone_number": "517-886-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S KINNEY AVE",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582702",
            "telephone_number": "989-773-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACETTE",
        "first_name": "WENDELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrinivas G Punjabi
• Liberty Quackenbush, RDN
• Quest Diagnostics LLC Il
• Kelley Michel Raab-Butler, LMSW
• Rebecca Jean Raby, LPN
• Daniel Philip Radawski, MD
• Peggy Lee Raines
• Anne Ramirez
• Frederick Eli Ranney III, D.M.D.
• Douglas Rasmussen

• General Practice Dentistry in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.