Andrew William Race, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.026891 Issued in OH

Practice address

4030 Smith Rd Ste 225
Cincinnati, OH 45209-1975

Phone

(513) 871-8488

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ezis & Blume DDS, Ms LLC

  • Periodontics
  • Cincinnati, OH
  • NPI 1861688020
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1821668567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091975",
            "telephone_number": "513-871-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091975",
            "telephone_number": "513-871-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACE",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "10671",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.026891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rabkin, MD
• Patrick Rabovsky, OD
• Tricia Raby, LSW
• John M Racadio, M.D.
• Nicholas William Racchi, DO
• Stephanie Race
• Rachel C Bailey, DMD LLC
• Robert Lewis Rachel
• Derek Robert Racicki, MSSA, MA, LISW-S
• Stephanie Ann Racicki, DPT

• Periodontics in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.