Ronald Walter Rakecky, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901008418 Issued in MI

Practice address

7 Millrace CT
Dearborn, MI 48126-2614

Phone

(313) 929-5360

NPI assigned

Apr 14, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1730405804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MILLRACE CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262614",
            "telephone_number": "313-271-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MILLRACE CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262614",
            "telephone_number": "313-929-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKECKY",
        "first_name": "RONALD",
        "middle_name": "WALTER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901008418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeinab Raishouni, LPC
• Anoushe Raja
• Veronica Lydia Rajcani
• Mallikeswari Rajendran, OTR
• Rajinder P. Sharma MD PC
• Pota Angie Rakes, DDS
• Rakesh Ramakrishnan MD PC
• Asma Ramadan, LLMSW
• Shefaa Ramadan
• Rakesh Ramakrishnan, M.D.

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.

Verify at the official NPI Registry.