Individual provider Active NPI

Richard Louis Raimondo Jr., D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1912902214
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9819 Issued in TX
Practice address
12521 Nacogdoches Rd
Ste 103
San Antonio, TX 78217-2117
Phone
(210) 653-3452
NPI assigned
Jun 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9819 TX Primary

Addresses

Primary practice location

12521 Nacogdoches Rd
Ste 103
San Antonio, TX 78217-2117

Mailing address

12521 Nacogdoches Rd
Ste 103
San Antonio, TX 78217-2117
Phone (210) 653-3452

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912902214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 NACOGDOCHES RD",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172117",
            "telephone_number": "210-653-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12521 NACOGDOCHES RD",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172117",
            "telephone_number": "210-653-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMONDO",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.