Organization Active NPI

David M. Raiffe DDS Mba

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1811273238
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019625 Issued in OH
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

Updated by the provider on Oct 31, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0963631MedicaidOH

Other names 1

  • Kenmore Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.