Active NPI
Rita Dee Raffoul
- Dentist
- Brooksville, FL
National Provider Identifier
1831712637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24878
- Practice address
- 12009 Cortez Blvd
Brooksville, FL 34613-7372 - Phone
- (352) 596-8988
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN24878 | FL | Primary |
Addresses
Primary practice location
12009 Cortez Blvd
Brooksville, FL 34613-7372
Mailing address
12009 Cortez Blvd
Brooksville, FL 34613-7372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24878 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Dentist Place - Brooksville
- General Practice Dentistry
- Brooksville, FL
- NPI 1174735807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1831712637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12009 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12009 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137372",
"telephone_number": "352-596-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFOUL",
"first_name": "RITA DEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.