Organization Active NPI

Rathke Family Dentistry, P.C.

  • Dental Clinic/Center
  • Huntsville, TX
National Provider Identifier
1174241533
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RATHKE FAMILY DENTISTRY, P.C.
Practice address
100 Medical Center Pkwy Ste 400
Huntsville, TX 77340-4959
Phone
(936) 291-8383
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Bryan C Rathke, DDSNPI 1811377658
Title
General Dentist
Phone
(936) 661-1180

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 NU Primary

Addresses

Primary practice location

100 Medical Center Pkwy Ste 400
Huntsville, TX 77340-4959

Mailing address

665 Elkins LK
Huntsville, TX 77340-7316
Phone (936) 661-1180

National Provider Directory

National Provider Directory

Locations

100 Medical Center Pkwy
Ste 400
Huntsville, TX 77340
Phone (936) 291-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1174241533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 ELKINS LK",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773407316",
            "telephone_number": "936-661-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 400",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "telephone_number": "936-291-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATHKE FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RATHKE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "936-661-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.