Organization Active NPI

Hamilton Family Dentistry David M Raiffe DDS LLC

  • General Practice Dentistry
  • Hamilton, OH
National Provider Identifier
1891148664
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HAMILTON FAMILY DENTISTRY DAVID M RAIFFE DDS LLC
Practice address
24 N E St
Hamilton, OH 45013-3046
Phone
(513) 867-8461
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Opal Anderson
Title
Regional Manager
Phone
(440) 823-6790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

24 N E St
Hamilton, OH 45013-3046

Mailing address

1491 Polaris Pkwy # 181
Columbus, OH 43240-2041
Phone (440) 823-6790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1891148664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 POLARIS PKWY # 181",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402041",
            "telephone_number": "440-823-6790",
            "fax_number": "614-942-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N E ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133046",
            "telephone_number": "513-867-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON FAMILY DENTISTRY DAVID M RAIFFE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "440-823-6790"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.