NPIMap

Organization Active NPI

Nicholas Raklios, DDS, PLLC

Doing business as Cascadia Kids Dentistry

  • Pediatric Dentistry
  • Kent, WA
National Provider Identifier
1912356411
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE 60557938 Issued in WA
Legal business name
NICHOLAS RAKLIOS, DDS, PLLC
Doing business as
Cascadia Kids Dentistry
Practice address
13034 SE Kent Kangley Rd
Kent, WA 98030-7965
Phone
(425) 301-2270
NPI assigned
Jun 7, 2016
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Nicholas Andrew Raklios, DDSNPI 1235510512
Title
Owner
Phone
(541) 508-5946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE 60557938 WA Primary

Addresses

Primary practice location

13034 SE Kent Kangley Rd
Kent, WA 98030-7965

Mailing address

13034 SE Kent Kangley Rd
Kent, WA 98030-7965
Phone (425) 301-2270

Other practice location 1

26812 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309
Phone (208) 918-8075

Other practice location 2

710 NW Juniper St Ste 208
Issaquah, WA 98027-2717
Phone (208) 918-8075

Other names 1

  • Cascadia Kids Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicholas Raklios DDS PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1912356411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13034 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307965",
            "telephone_number": "425-301-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13034 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307965",
            "telephone_number": "425-301-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26812 Maple Valley Black Diamond Rd SE",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980388309",
            "country_code": "US",
            "telephone_number": "208-918-8075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 NW Juniper St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272717",
            "country_code": "US",
            "telephone_number": "208-918-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS RAKLIOS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-12-13",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "RAKLIOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-508-5946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 60557938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascadia Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.