Individual provider Active NPI

Francesca Racca

  • Periodontics
  • Traverse City, MI
National Provider Identifier
1851024111
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901602783 Issued in MI
Practice address
4944 Skyview CT
Traverse City, MI 49684-7173
Phone
(231) 946-2910
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RES.004523 OH
Periodontics 1223P0300X 2901602783 MI Primary

Addresses

Primary practice location

4944 Skyview CT
Traverse City, MI 49684-7173

Mailing address

9775 E Jennings Dr Unit 201
Traverse City, MI 49684-2723
Phone (614) 707-9340

Other practice location 1

305 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 292-4927

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

LicenseStateTypeSpecialty
RES.004523OHMDDentist
2901602783MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Hall, DDS, Ms, PC Periodontics CurrentSince Aug 10, 2025 Accepting new patients

Locations

4944 Skyview Ct
Traverse City, MI 49684
Phone (231) 946-2910

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1851024111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 E JENNINGS DR UNIT 201",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842723",
            "telephone_number": "614-707-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847173",
            "telephone_number": "231-946-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-292-4927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACCA",
        "first_name": "FRANCESCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.004523",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901602783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.