Rafael Acosta, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12408 Issued in MD

Legal business name

RAFAEL ACOSTA, DDS, PC

Practice address

110 Baughmans LN
Suite 140
Frederick, MD 21702-4059

Phone

(240) 215-1138

Fax

(240) 215-1140

NPI assigned

Sep 5, 2011

Last updated

Sep 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael A. Acosta, DDS

Title

Sole Proprietor

Phone

(240) 215-1138

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315180800000",
    "number": "1962783910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217020149",
            "telephone_number": "240-215-1138",
            "fax_number": "240-215-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN",
            "address_2": "SUITE 140",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024059",
            "telephone_number": "240-215-1138",
            "fax_number": "240-215-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL ACOSTA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "240-215-1138",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12408",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Haffey LLC
• Olivia Gabrielle Longo Rachel, M.S CF-SLP
• Radhe Radhe Pharmacy LLC (V-Care Pharmacy)
• Radiology Associates of Maryland, LLC
• Mollie Radonovich, CNS
• Krystal Rafferty, PA-C
• Farangis Rafi
• Shahid Rafiq, MD
• Taylor Lynn Rager, RDH
• Raheleh Makhmalbaf DMD LLC (Modern Dentistry of Frederick)

• Dentist in Frederick, MD
• Providers in Frederick, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.