Organization Active NPI

Joseph R. Raub, Jr., D.M.D., M.SC.D., P.a.

  • Pediatric Dentistry
  • Temple, TX
National Provider Identifier
1588783880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
18253 Issued in TX
Legal business name
JOSEPH R. RAUB, JR., D.M.D., M.SC.D., P.A.
Practice address
2122 Birdcreek Dr
Temple, TX 76502-1020
Phone
(254) 771-5701
Fax
(254) 771-5770
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Reynolds Raub
Title
Owner
Phone
(254) 771-5701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 18253 TX Primary

Addresses

Primary practice location

2122 Birdcreek Dr
Temple, TX 76502-1020

Mailing address

PO Box 3280
Temple, TX 76505-3280
Phone (254) 771-5701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588783880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3280",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765053280",
            "telephone_number": "254-771-5701",
            "fax_number": "254-771-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 BIRDCREEK DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021020",
            "telephone_number": "254-771-5701",
            "fax_number": "254-771-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. RAUB, JR., D.M.D., M.SC.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAUB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-771-5701",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.