Sherry Benenhaley Rauch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4654 Issued in SC

Practice address

7436 Broad River Rd
Suite 111
Irmo, SC 29063-7601

Phone

(803) 749-3333

Fax

(803) 749-3335

NPI assigned

Jul 1, 2008

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dutch Fork Family Dentistry, PA

  • Dental Clinic/Center
  • Irmo, SC
  • NPI 1104166792
  NPD (past) Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1619139482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 TWIN PINE DR",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368025",
            "telephone_number": "803-414-3886",
            "fax_number": "803-749-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7436 BROAD RIVER RD",
            "address_2": "SUITE 111",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637601",
            "telephone_number": "803-749-3333",
            "fax_number": "803-749-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "SHERRY",
        "middle_name": "BENENHALEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4654",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Purcell-Cannon, O.D.
• Shaienna Quinn, LMSW, LCSW-A
• William R Quirk, CSW
• Raman Orthodontics, LLC (Irmo Smiles Pediatric Dentistry & Orthodontics)
• Margaret H Rast, RN
• Debra Ray
• Janine Reed
• Abigail Reese, PA
• Herbert T Reeves, P.T., MHS
• Elise Rendulic

• General Practice Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.