Organization Active NPI

Louis K. Rafetto, D.M.D., P.a.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wilmington, DE
National Provider Identifier
1922318112
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
G10000865 Issued in DE
Legal business name
LOUIS K. RAFETTO, D.M.D., P.A.
Practice address
3512 Silverside Rd
Wilmington, DE 19810-4941
Phone
(302) 477-1800
Fax
(302) 477-0343
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Louis K. Rafetto, DMDNPI 1811970700
Title
President
Phone
(302) 477-1800

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X G10000865 DE Primary

Addresses

Primary practice location

3512 Silverside Rd
Wilmington, DE 19810-4941

Mailing address

3512 Silverside Rd
Wilmington, DE 19810-4941
Phone (302) 477-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029001160 DE Part B Supplier - Clinic/Group Practice 4385838713 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

3512 Silverside Rd
#12
Wilmington, DE 19810
Phone (302) 477-1800

3512 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-1800

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": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1922318112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104941",
            "telephone_number": "302-477-1800",
            "fax_number": "302-477-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104941",
            "telephone_number": "302-477-1800",
            "fax_number": "302-477-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS K. RAFETTO, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "RAFETTO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-477-1800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "DE",
            "license": "G10000865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.