Paul Edward Rader, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4318 Issued in OK

Practice address

217 N Water Ave
Tahlequah, OK 74464-2825

Phone

(918) 456-3521

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316979040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N WATER AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642825",
            "telephone_number": "918-456-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N WATER AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642825",
            "telephone_number": "918-456-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "4318",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nichole Purnell
• Quah Prevention and Recovery Center, Inc.
• Qualls & Associates, Inc.
• Elaine Mary Quintana, M.D.
• Charlene Radebaugh, LPC
• Juliann Maria Rados, OD
• Heather Ragsdale
• Raji M Gill DO PC
• Carrie Anne Ramos
• Ethan Randall

• General Practice Dentistry in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.