Organization Active NPI

Raintree Dental PC

  • Dental Clinic/Center
  • New Castle, IN
National Provider Identifier
1043787146
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAINTREE DENTAL PC
Practice address
120 S Memorial Dr Ste F
New Castle, IN 47362-4991
Phone
(765) 528-8778
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Dr. Charles R Miller, DDSNPI 1518317940
Title
Owner
Phone
(260) 760-0611

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

120 S Memorial Dr Ste F
New Castle, IN 47362-4991

Mailing address

10152 Falcon Cove Cir
Indianapolis, IN 46236-8495
Phone (260) 760-0611

National Provider Directory

National Provider Directory

Locations

120 S Memorial Dr
Ste F
New Castle, IN 47362
Phone (765) 528-8778

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": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1043787146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 FALCON COVE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368495",
            "telephone_number": "260-760-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MEMORIAL DR STE F",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624991",
            "telephone_number": "765-528-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINTREE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-760-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.