Individual provider Active NPI

Rabion Andrew Frasure Jr., DDS

  • Dentist
  • Knox, IN
National Provider Identifier
1629635438
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013165A Issued in IN
Practice address
1800 S US Highway 35
Knox, IN 46534-8681
Phone
(574) 772-3666
Fax
(574) 772-5643
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013165A IN Primary

Addresses

Primary practice location

1800 S US Highway 35
Knox, IN 46534-8681

Mailing address

PO Box 152
Knox, IN 46534-0152
Phone (574) 772-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12013165AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Starke County Family Dentistry CurrentSince Jan 8, 2023 Accepting new patients
Badell Dental Clinic LLC PastSince Jun 12, 2022 Accepting new patients

Locations

1800 S US Highway 35
Knox, IN 46534
Phone (574) 248-0456

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1629635438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465340152",
            "telephone_number": "574-772-3666",
            "fax_number": "574-772-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S US HIGHWAY 35",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348681",
            "telephone_number": "574-772-3666",
            "fax_number": "574-772-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASURE",
        "first_name": "RABION",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.