Active NPI
Raintree Dental PC
- Dental Clinic/Center
- New Castle, IN
National Provider Identifier
1043787146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles R Miller, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Indianapolis, IN
- NPI 1518317940
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.