Individual provider Active NPI

Thomas Edwin Rain, M.D.

  • Surgery Physician
  • Addison, TX
National Provider Identifier
1639292683
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
F0630 Issued in TX
Practice address
14700 Marsh LN
# 1029
Addison, TX 75001-5500
Phone
(972) 243-3997
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X F0630 TX Primary

Addresses

Primary practice location

14700 Marsh LN
# 1029
Addison, TX 75001-5500

Mailing address

14700 Marsh LN
# 1029
Addison, TX 75001-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F0630TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1639292683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 MARSH LN",
            "address_2": "# 1029",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 MARSH LN",
            "address_2": "# 1029",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015500",
            "telephone_number": "972-243-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIN",
        "first_name": "THOMAS",
        "middle_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F0630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.