Individual provider Active NPI

Rana M Rakow, D.D.S.

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1508099268
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57894 Issued in CA
Practice address
2650 Hampton Ave
Redwood City, CA 94061-2542
Phone
(415) 314-0137
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57894 CA Primary

Addresses

Primary practice location

2650 Hampton Ave
Redwood City, CA 94061-2542

Mailing address

2650 Hampton Ave
Redwood City, CA 94061-2542
Phone (415) 314-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20151222001292 CA Order and Referring Only - DentistPractitioner - Dentist 6103127857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57894CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1508099268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 HAMPTON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612542",
            "telephone_number": "415-314-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 HAMPTON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612542",
            "telephone_number": "415-314-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOW",
        "first_name": "RANA",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.