Myriam E H Raber, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30021462 Issued in OH

Practice address

3693 Kidron Rd
Kidron, OH 44636-0020

Phone

(330) 857-0144

Fax

(330) 857-0246

NPI assigned

Aug 25, 2006

Last updated

Feb 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raber Dental Inc

  • Dental Clinic/Center
  • Kidron, OH
  • NPI 1871671404
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1124135884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "446360020",
            "telephone_number": "330-857-0144",
            "fax_number": "330-857-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3693 KIDRON RD",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "446360020",
            "telephone_number": "330-857-0144",
            "fax_number": "330-857-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABER",
        "first_name": "MYRIAM",
        "middle_name": "E H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "30021462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elyse George, CNM
• Kidron Volunteer Fire Department Inc (Kidron VFD)
• Seung Yeob Lee, DDS
• Raber Dental Inc
• Raber Eye Care Inc
• Philip Raber, O.D.
• Yang Sun Shin
• John Adam Weyrauch IV, RPH
• Shirley K Weyrauch, RPH
• Weyrauch's Pharmacy, LLC

• General Practice Dentistry in Kidron, OH
• Providers in Kidron, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.