Active NPI
Mary Kluener Rath, DDS
- General Practice Dentistry
- Harrison, OH
National Provider Identifier
1013065515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30016082
- Practice address
- 1149 Stone Dr
300
Harrison, OH 45030-2763 - Phone
- (513) 367-0113
- Fax
- (513) 367-4574
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30016082 | OH | Primary |
Addresses
Primary practice location
1149 Stone Dr
300
Harrison, OH 45030-2763
Mailing address
5597 Squirrel Run Lane
Cincinnati, OH 45247
Phone (513) 741-3848
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30016082 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013065515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5597 SQUIRREL RUN LANE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45247",
"telephone_number": "513-741-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 STONE DR",
"address_2": "300",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302763",
"telephone_number": "513-367-0113",
"fax_number": "513-367-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATH",
"first_name": "MARY",
"middle_name": "KLUENER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30016082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.