Active NPI
Joseph R. Raub, Jr., D.M.D., M.SC.D., P.a.
- Pediatric Dentistry
- Temple, TX
National Provider Identifier
1588783880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18253
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pediatric Dentistry
- Temple, TX
- NPI 1790896512
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.