Israel Raphail, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

05138 Issued in NH

Practice address

150 Marketplace Blvd Unit 3
Rochester, NH 03867-4387

Phone

(603) 392-7654

NPI assigned

Sep 10, 2024

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

Other names 1

• Raphail Israel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1679309454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARKETPLACE BLVD UNIT 3",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674387",
            "telephone_number": "603-392-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARKETPLACE BLVD UNIT 3",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674387",
            "telephone_number": "603-392-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAIL",
        "first_name": "ISRAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "05138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAPHAIL",
            "last_name": "ISRAEL",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jessica Tatum Regan, CF-SLP

• General Practice Dentistry in Rochester, NH
• Providers in Rochester, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.