Individual provider Active NPI

Linda Raskansky, D.M.D,

  • Dentist
  • Peoria, AZ
National Provider Identifier
1578682829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6384 Issued in AZ
Practice address
8279 W Lake Pleasant Pkwy Ste 110
Peoria, AZ 85382-7434
Phone
(623) 878-0120
Fax
(623) 825-6820
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6384 AZ Primary

Addresses

Primary practice location

8279 W Lake Pleasant Pkwy Ste 110
Peoria, AZ 85382-7434

Mailing address

8279 W Lake Pleasant Pkwy Ste 110
Peoria, AZ 85382-7434
Phone (623) 878-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D6384AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Dentistry PC Past Accepting new patients
Enkatsu Management 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578682829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8279 W LAKE PLEASANT PKWY STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827434",
            "telephone_number": "623-878-0120",
            "fax_number": "623-825-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8279 W LAKE PLEASANT PKWY STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827434",
            "telephone_number": "623-878-0120",
            "fax_number": "623-825-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKANSKY",
        "first_name": "LINDA",
        "credential": "D.M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

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