Individual provider Active NPI

Richard Anthony Rauschenbach, D.D.S.

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1679797229
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M653 Issued in SD
Practice address
1300 S Grange Ave
Sioux Falls, SD 57105-0418
Phone
(605) 338-2163
Fax
(605) 331-4057
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M653 SD Primary

Addresses

Primary practice location

1300 S Grange Ave
Sioux Falls, SD 57105-0418

Mailing address

1300 S Grange Ave
Sioux Falls, SD 57105-0418
Phone (605) 338-2163

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
M653SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Rauschenbach, DDS CurrentSince Apr 20, 2021 Accepting new patients

Locations

1300 S Grange Ave
Sioux Falls, SD 57105
Phone (605) 338-2163

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1679797229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S GRANGE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050418",
            "telephone_number": "605-338-2163",
            "fax_number": "605-331-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GRANGE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050418",
            "telephone_number": "605-338-2163",
            "fax_number": "605-331-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHENBACH",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.