Clint E Rau, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6205-15 Issued in WI

Practice address

605 Reed Ave
Manitowoc, WI 54220-2026

Phone

(920) 652-1100

Fax

(920) 652-1200

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: crau558882@direct.froedtert.com

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.

• Hospital Dentistry for Kids Inc.

  • Dentist
  • Denmark, WI
  • NPI 1710509484
  NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1477639334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "DENMARK",
            "state": "WI",
            "postal_code": "542080560",
            "telephone_number": "920-664-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 REED AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202026",
            "telephone_number": "920-652-1100",
            "fax_number": "920-652-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "CLINT",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "8109",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6205-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee Rose Rahmlow, PTA
• Surinder K Rajpal, MD
• Kimberly Michelle Ramski, RN
• Rachelle Rank, COTAWI
• Ryan Lee Rathke, RPH
• Melanie Lynn Recore, OTR
• Dawn Marie Redwine, P.T.
• Matthew Reed, RN
• Rose Reed
• Thomas Joseph Rehrauer, D.D.S.

• Pediatric Dentistry in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.