Organization Active NPI

Ian M. Rae, DMD Smile Innovations

  • Customized Equipment (DME)
  • Springboro, OH
National Provider Identifier
1508241993
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
IAN M. RAE, DMD SMILE INNOVATIONS
Practice address
5150 Cedar Brook CT
Springboro, OH 45066-7405
Phone
(937) 879-1321
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Ian M Rae, DDS
Title
Owner
Phone
(937) 879-1321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

5150 Cedar Brook CT
Springboro, OH 45066-7405

Mailing address

5150 Cedar Brook CT
Springboro, OH 45066-7405
Phone (937) 879-1321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1508241993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CEDAR BROOK CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667405",
            "telephone_number": "937-879-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CEDAR BROOK CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667405",
            "telephone_number": "937-879-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN M. RAE, DMD SMILE INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-879-1321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.