NPIMap

Organization Active NPI

DRS. Gerald and Candace Rausch, PC

  • General Practice Dentistry
  • Stone Mountain, GA
National Provider Identifier
1235354895
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9829 Issued in GA
Legal business name
DRS. GERALD AND CANDACE RAUSCH, PC
Practice address
1172 Rockbridge Rd
Stone Mountain, GA 30087-2903
Phone
(770) 931-3388
Fax
(770) 931-3368
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Candace H. Rausch, DMDNPI 1154546711
Title
Secretary-Treasurer
Phone
(770) 931-3388

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9829 GA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9656 GA

Addresses

Primary practice location

1172 Rockbridge Rd
Stone Mountain, GA 30087-2903

Mailing address

1172 Rockbridge Rd
Stone Mountain, GA 30087-2903
Phone (770) 931-3388

National Provider Directory

National Provider Directory

Locations

1172 Rockbridge Rd
Stone Mountain, GA 30087
Phone (770) 931-3388

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1235354895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872903",
            "telephone_number": "770-931-3388",
            "fax_number": "770-931-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872903",
            "telephone_number": "770-931-3388",
            "fax_number": "770-931-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GERALD AND CANDACE RAUSCH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "770-931-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9829",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.