Clayton Danford Rangitsch, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.028387 Issued in IL

Practice address

1501 S Carbon St
Marion, IL 62959-1435

Phone

(618) 997-7273

Fax

(618) 997-8978

NPI assigned

Jul 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1124330246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181923",
            "telephone_number": "618-985-8221",
            "fax_number": "618-985-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CARBON ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591435",
            "telephone_number": "618-997-7273",
            "fax_number": "618-997-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGITSCH",
        "first_name": "CLAYTON",
        "middle_name": "DANFORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua K. Rahman
• Atif Raja
• Erica Ralls, RDH,BSDH,CDHC
• Yeni J Ramos, BS,BCBA
• Eler Diane Randall, RN, APN
• Traci Ann Rann
• Lew Ratcliff, LCPC
• Ayesha Qurratulain Rather, MD
• Mannil Ravindranathan, MD
• Amar Rawal, MD

• Dentist in Marion, IL
• Providers in Marion, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.