Christopher H Rae, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18823 Issued in FL

Practice address

131 Victoria Commons Blvd
Deland, FL 32724

Phone

(386) 624-7658

Fax

(386) 873-4625

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Previously, effective Sep 7, 2022 through Sep 7, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Victorian Dental

  • Dental Clinic/Center
  • Deland, FL
  • NPI 1033774757
  NPD Authorized official

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1457581217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD",
            "address_2": "SUITE 108",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247768",
            "telephone_number": "386-624-7658",
            "fax_number": "386-873-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 VICTORIA COMMONS BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-624-7658",
            "fax_number": "386-873-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "CHRISTOPHER",
        "middle_name": "H",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• QSH/Central Florida, LLC
• Anne A Quinones, LMHC
• R. Mark Mathias, DDS PA
• Chris Rabe, PTA
• Oscar Radi, MD
• Carrie Rahn, ATC
• Anthony M Rainho, MD
• Sona Ramdath Jr., DPM
• Ramos Chiropractic LLC
• Hector Ramos Mendez

• Dentist in Deland, FL
• Providers in Deland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.