Active NPI
Christopher Jon Rafoth, DDS
- Dentist
- Stanwood, WA
National Provider Identifier
1568545796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 7204 267TH St NW
Ste 102
Stanwood, WA 98292 - Phone
- (360) 629-7229
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | WA | Primary |
Addresses
Primary practice location
7204 267TH St NW
Ste 102
Stanwood, WA 98292
Mailing address
7204 267TH St NW
Ste 102
Stanwood, WA 98292
Phone (360) 629-7229
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000547 | WA | Order and Referring Only - Oral Surgery | 3971747833 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568545796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7204 267TH ST NW",
"address_2": "STE 102",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-629-7229",
"fax_number": "360-629-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7204 267TH ST NW",
"address_2": "STE 102",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-629-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFOTH",
"first_name": "CHRISTOPHER",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.