Active NPI
Daniel M Rauk, DDS
- Dentist
- Estes Park, CO
National Provider Identifier
1386671931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6090
- Practice address
- 600 S Saint Vrain Ave
Suite 6
Estes Park, CO 80517-5422 - Phone
- (970) 586-9330
- Fax
- (970) 577-0045
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6090 | CO | Primary |
Addresses
Primary practice location
600 S Saint Vrain Ave
Suite 6
Estes Park, CO 80517-5422
Mailing address
600 S Saint Vrain Ave
Suite 6
Estes Park, CO 80517-5422
Phone (970) 586-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6090 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386671931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S SAINT VRAIN AVE",
"address_2": "SUITE 6",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805175422",
"telephone_number": "970-586-9330",
"fax_number": "970-577-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S SAINT VRAIN AVE",
"address_2": "SUITE 6",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805175422",
"telephone_number": "970-586-9330",
"fax_number": "970-577-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUK",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estes Park, CO
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Michael Prochoda, M.D.
- Lauren Pucci, LPC.0022596
- PVHS/Timberline, LLC (Timberline Medical, LLC)
- Bryan Kent Reichert, MD
- Christopher Garland Reveley, M.D.
- Paxon Riding, D.P.M.
- RMC Medical LLC
- Kristen Nichole Robbins, DDS
Sources for this page
- 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.