NPIMap

Organization Active NPI

Racine & Ackley D.D.S., P.C.

  • Dental Clinic/Center
  • Clio, MI
National Provider Identifier
1760851794
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RACINE & ACKLEY D.D.S., P.C.
Practice address
573 W Vienna St
Clio, MI 48420-5000
Phone
(810) 686-5220
Fax
(810) 686-1620
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Paul Joseph Racine, D.D.S.NPI 1457351298
Title
Dentist
Phone
(810) 686-5220

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

573 W Vienna St
Clio, MI 48420-5000

Mailing address

573 W Vienna St
Clio, MI 48420-5000
Phone (810) 686-5220

National Provider Directory

National Provider Directory

Locations

573 W Vienna St
Clio, MI 48420
Phone (810) 686-5220

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1760851794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220",
            "fax_number": "810-686-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484205000",
            "telephone_number": "810-686-5220",
            "fax_number": "810-686-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE & ACKLEY D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "RACINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-686-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.