Andrew Raber, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12012295A Issued in IN

Practice address

4315 Commerce Dr
Lafayette, IN 47905-3822

Phone

(765) 588-0217

NPI assigned

Jun 8, 2015

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• GB Fishers

  dba Gorman & Bunch Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fishers, IN
  • NPI 1649772567
  NPD (past)
• Orthodontic Partners of Indiana, LLC

  dba Gorman & Bunch Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Noblesville, IN
  • NPI 1942089081
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1396125944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6583 PENNAN CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 COMMERCE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479053822",
            "telephone_number": "765-588-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13752 Lakeridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377608",
            "country_code": "US",
            "telephone_number": "317-576-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402184604",
            "country_code": "US",
            "telephone_number": "502-874-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012295A",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "10390",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12012295A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Pyle
• Rebecca R Quackenbush Solis, PHARMD
• Riley Quakenbush, PA
• Jason Trevor Queen, PA-C
• Shaeley Rabanus, LCSW
• Jennifer Racich
• Kelsey Rader, FNP
• Alexis Radtke, RBT
• Trista Ragains
• Kristina Ragan

• Orthodontics and Dentofacial Orthopedics Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.