Erin a. Rake, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011508A Issued in IN

Legal business name

ERIN A. RAKE, DDS

Practice address

150 N Indiana St
Mooresville, IN 46158-1506

Phone

(317) 831-4240

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Erin Rake

Title

Owner

Phone

(317) 400-7681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1508239682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581506",
            "telephone_number": "317-831-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN A. RAKE, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "RAKE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-400-7681"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mooresville, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.