Diane Kathryn Rademacher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043980 Issued in NY

Practice address

7 Union Street
Ballston Spa, NY 12020-1135

Phone

(518) 885-3877

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1104806587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 UNION ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201238",
            "telephone_number": "518-885-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 UNION STREET",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201135",
            "telephone_number": "518-885-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER",
        "first_name": "DIANE",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02428348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas John Pray, DDS
• Quality Care-USA, Inc.
• Michael Matthew Quartararo, D.C
• Gerald Vincent Quinnan III, LMSW
• Sheila Rabideau, RN
• Marcus Joseph Raffuel, DDS
• Alyssa Raine, LMSW
• Taylor Rashkow, LMHC
• James Reynolds
• Cynthia Ricciuti, RD CDN

• General Practice Dentistry in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.