Timothy Raczka, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8081 Issued in NC

Practice address

202 Davis Grove Cir
Ste 102
Cary, NC 27519-2505

Phone

(919) 363-3100

Fax

(919) 363-3002

NPI assigned

Aug 16, 2006

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Maureen M. Rackzka and Timothy C. Raczka DDS, PA

  dba Alliance Dentistry

  • Dentist
  • Cary, NC
  • NPI 1104006022
  NPD (past) Authorized official
• Ganglani Cary PLLC

  dba Alliance Dentistry

  • General Practice Dentistry
  • Cary, NC
  • NPI 1689403230
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1518070614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DAVIS GROVE CIR",
            "address_2": "STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192505",
            "telephone_number": "919-363-3100",
            "fax_number": "919-363-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 DAVIS GROVE CIR",
            "address_2": "STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192505",
            "telephone_number": "919-363-3100",
            "fax_number": "919-363-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZKA",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R & R Pediatrics, PLLC
• Fred Scott Rabon, M.D.
• Allison Racey, AU.D.
• Deljah Rackley
• Maureen McMahon Raczka, D.D.S.
• Emma Rade
• Angelina Radecki
• Jenna Radford, PMHNP-BC
• Kevin Donald Radford
• Radiant Care LLC (Radiant Care)

• General Practice Dentistry in Cary, NC
• Providers in Cary, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.