Pete J Rauen, M.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

5650 Issued in KY

Practice address

232 Thomas More Pkwy
Crestview Hills, KY 41017-3424

Phone

(859) 331-8880

Fax

(859) 331-7550

NPI assigned

Feb 4, 2010

Last updated

Feb 4, 2010By the provider in NPPES

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pete J. Rauen D.M.D., Inc.

  dba Crestview Hills Dental

  • Dentist
  • Crestview Hills, KY
  • NPI 1851305643
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1396077145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173424",
            "telephone_number": "859-331-8880",
            "fax_number": "859-331-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173424",
            "telephone_number": "859-331-8880",
            "fax_number": "859-331-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUEN",
        "first_name": "PETE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8008071301",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Ellen Powell, APRN
• Donald L Price, M.D.
• Progressive Rehabilitation
• Proscan Radiology Northern Kentucky, LLC
• David C Quast, D.M.D.,M.S.D.
• Margaret Ann Rawe, PT
• Rebecca Bogner Rebitski, P.T.
• Rechtin Jacobs Orthodontics LLC
• Jordan Redfield, MD
• Catherine M Reedy, MSW

• Dentist in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.