Alexandra Raut, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

53215 Issued in NY

Practice address

359 Main St
Suite 3 D
Mt Kisco, NY 10549-3028

Phone

(914) 241-0994

Fax

(914) 241-0875

NPI assigned

May 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1245452101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE 3 D",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-241-0994",
            "fax_number": "914-241-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MAIN ST",
            "address_2": "SUITE 3 D",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-241-0994",
            "fax_number": "914-241-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUT",
        "first_name": "ALEXANDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "53215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Mt Kisco, NY
• Providers in Mt Kisco, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.