Active NPI
David M. Raiffe DDS Mba
- General Practice Dentistry
- Akron, OH
National Provider Identifier
1811273238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019625
- Legal business name
- DAVID M. RAIFFE DDS MBA
- Practice address
- 916 Kenmore Blvd
Akron, OH 44314-2113 - Phone
- (330) 753-8155
- NPI assigned
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Riaffe, DDS
- Title
- Owner
- Phone
- (330) 753-8155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019625 | OH | Primary |
Addresses
Primary practice location
916 Kenmore Blvd
Akron, OH 44314-2113
Mailing address
916 Kenmore Blvd
Akron, OH 44314-2113
Phone (330) 753-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0963631 | Medicaid | OH |
Other names 1
- Kenmore Family Dental
National Provider Directory
National Provider DirectoryLocations
916 Kenmore Blvd
Akron, OH 44314
Phone (330) 753-8155
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Akron, OH
- NPI 1265422786
-
- General Practice Dentistry
- Westerville, OH
- NPI 1013270016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1811273238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 KENMORE BLVD",
"city": "AKRON",
"state": "OH",
"postal_code": "443142113",
"telephone_number": "330-753-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 KENMORE BLVD",
"city": "AKRON",
"state": "OH",
"postal_code": "443142113",
"telephone_number": "330-753-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M. RAIFFE DDS MBA",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "RIAFFE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-753-8155",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "019625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0963631",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenmore Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.