Organization Active NPI

Kurt W. Raack, M.S., D.D.S., P.C.

  • General Practice Dentistry
  • Geneva, IL
National Provider Identifier
1730312380
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KURT W. RAACK, M.S., D.D.S., P.C.
Practice address
2700 Keslinger Rd
Suite a
Geneva, IL 60134-4645
Phone
(630) 262-8686
Fax
(630) 262-8685
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Kurt W Raack, D.D.S.NPI 1396961215
Title
President
Phone
(630) 262-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2700 Keslinger Rd
Suite a
Geneva, IL 60134-4645

Mailing address

2700 Keslinger Rd
Suite a
Geneva, IL 60134-4645
Phone (630) 262-8686

Other identifiers 1

IdentifierTypeStateIssuer
1396961215OtherILTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

2700 Keslinger Rd
Ste A
Geneva, IL 60134
Phone (630) 262-8686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1730312380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 KESLINGER RD",
            "address_2": "SUITE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344645",
            "telephone_number": "630-262-8686",
            "fax_number": "630-262-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 KESLINGER RD",
            "address_2": "SUITE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344645",
            "telephone_number": "630-262-8686",
            "fax_number": "630-262-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT W. RAACK, M.S., D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "RAACK",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-262-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1396961215",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.