RACKHAM DENTAL LLC (NPI# 1699144022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699144022 |
| Entity Type | Organization |
| Organization Name | RACKHAM DENTAL LLC |
| Other Organization Name | KIDS N MORE DENTIST |
| Practice Address |
6658 Summer Fest Drive San Antonio TX 78244 |
| Mailing Address |
Po Box 201315 San Antonio TX 78220-8315 |
| Practice Telephone | 8019208772 |
| Mailing Telephone | 8019208772 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | DR. JOSHUA LEE RACKHAM (DENTIST) |
| Authorized Official Telephone | 8019208772 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 27186 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 214414901 | 05 |
| Other Name | Type Code |
|---|---|
| Kids N More Dentist | Doing Business As Name - Organization |
| Street Address |
6658 SUMMER FEST DRIVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
| 1073004594 | Adam Sumner Dmd Pllc | Dentist | 5975 W Farm To Market Rd 78 #360, San Antonio, TX 78244 | 2018-05-21 |
| 1689181091 | Texas Tens Unlimited Inc. | Durable Medical Equipment & Medical Supplies | 7975 Fm 78, Suite 2, San Antonio, TX 78244 | 2018-01-08 |
| 1366822421 | Larry Williamson | Counselor | 602 E. Afton Oaks Blvd, San Antonio, TX 78244 | 2015-06-04 |
| 1417334574 | Jamaica D Bates | Counselor | 7134 Elm Trail, San Antonio, TX 78244 | 2015-04-28 |
| 1386984656 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4096 North Foster, San Antonio, TX 78244 | 2013-02-25 |
| 1033459607 | Doris A Mantos | Durable Medical Equipment & Medical Supplies | 7975 Fm 78 Ste 1, San Antonio, TX 78244 | 2013-02-19 |
| 1588822308 | Costance Yvette Staten | Assisted Living Facility | 7000 Gulfshore, San Antono, TX 78244 | 2008-05-29 |
| 1073734679 | Felix H Flores | Physical Therapy Assistant | 4154 Mystic Sunrise, San Antonio, TX 78244 | 2007-05-01 |
| 1386753721 | H-e-b, Lp | Clinical Medical Laboratory | 6580 Fm 78, San Antonio, TX 78244 | 2006-08-30 |
| Find all providers in zip 78244 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78244 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.