Individual provider Active NPI

Rakesh Raina, D.D.S,

  • Endodontics
  • Duluth, GA
National Provider Identifier
1982873964
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN011743 Issued in GA
Practice address
1815 Satellite Blvd
Suite # 301
Duluth, GA 30097-5237
Phone
(678) 205-1028
Fax
(678) 205-1030
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN011743 GA Primary

Addresses

Primary practice location

1815 Satellite Blvd
Suite # 301
Duluth, GA 30097-5237

Mailing address

1815 Satellite Blvd
Suite # 301
Duluth, GA 30097-5237
Phone (678) 205-1028

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN011743GAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1982873964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD",
            "address_2": "SUITE # 301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975237",
            "telephone_number": "678-205-1028",
            "fax_number": "678-205-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD",
            "address_2": "SUITE # 301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975237",
            "telephone_number": "678-205-1028",
            "fax_number": "678-205-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "RAKESH",
        "credential": "D.D.S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN011743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.