Frederic Clyde Rather, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12008608A Issued in IN

Practice address

9042 Columbia Ave
Ste a
Munster, IN 46321-2905

Phone

(219) 836-5656

Fax

(219) 836-0455

NPI assigned

Aug 9, 2006

Last updated

Mar 4, 2016By 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 IN

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.

• Dr Frederic Clyde Rather DMD PC

  • Dentist
  • Munster, IN
  • NPI 1316029374
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1447260732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 COLUMBIA AVE",
            "address_2": "STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212905",
            "telephone_number": "219-836-5656",
            "fax_number": "219-836-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 COLUMBIA AVE",
            "address_2": "STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212905",
            "telephone_number": "219-836-5656",
            "fax_number": "219-836-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHER",
        "first_name": "FREDERIC",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008608A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "609186400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phornphat Rasamimari, M.D., MPH
• Yameen Rashid, D.O
• Amita Rastogi, M.D.
• Sanjeev Rastogi, M.D.
• Philip E. Rathbun, M.D.
• Creighton M Rawlings, M.D.
• Sydney Elizabeth Ray, MS, LMFT
• Stephanie Re
• Andrea Sue Reader, MS, RN, CNS
• Karen Sue Redar, LCSW

• Dentist in Munster, IN
• Providers in Munster, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.