Rafael Antonio Acosta, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

15692 Issued in MD

Practice address

7905 Malcolm Rd Ste 300
Clinton, MD 20735

Phone

(301) 868-5500

NPI assigned

Sep 25, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 29, 2015 through Dec 29, 2027

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan J. Goodfriend, DMD, Glenn C. Schermer, DMD, Guido Costa, DMD,P.a.

  • Endodontics
  • Clinton, MD
  • NPI 1447377718
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902232614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD STE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351708",
            "telephone_number": "301-868-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD STE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-868-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22888 Three Notch Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206193114",
            "country_code": "US",
            "telephone_number": "301-737-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Greenbelt Rd Ste U11",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402347",
            "country_code": "US",
            "telephone_number": "301-345-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Post Office Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206021913",
            "country_code": "US",
            "telephone_number": "301-843-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 Prince Frederick Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783199",
            "country_code": "US",
            "telephone_number": "443-532-3123",
            "fax_number": "443-532-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "RAFAEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "15692",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tigisti Tesfai Abraha, MD,OTR/L,CPAM
• Michael A Abramson, M.D.
• Tiarra Monique Abu-Bakr, LGPC
• Accessible Medical Solutions LLC (Accelerate PT & Sports Medicine)
• Achieving Mental Victory, LLC
• Darin C Adair, P.A.
• Reginald Vernell Adams, CAC-11
• Adc 1 Inc
• Addala Patel and Associates PC (Southern Maryland Cardiology Associates)
• Srinivas Addala, M.D.

• Endodontics in Clinton, MD
• Providers in Clinton, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.