Ranae M Stine, RDH, ADT

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

DT46 Issued in MN

Practice address

605 Hillcrest Ave Ste 210
Owatonna, MN 55060-3680

Phone

(507) 451-5844

NPI assigned

Jul 31, 2008

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ranae Stine Former name

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.

• PDG, PA

  • Dental Clinic/Center
  • Owatonna, MN
  • NPI 1861931545
  NPD (past)
• West Side Community Health Services, Inc.

  dba MINNESOTA COMMUNITY CARE MBC - St. Paul

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1043187289
  NPD (past)
• West Side Community Health Services, Inc.

  dba West Side Dental Clinic

  • Dental Clinic/Center
  • Saint Paul, MN
  • NPI 1417007436
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1700042546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE STE 210",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE STE 210",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "RANAE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RDH, ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "857",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H6057",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANAE",
            "last_name": "STINE",
            "credential": "RDH, DT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanford Co, LLC (LearningRx Owatonna)
• Darci Stanford, BCCS
• Madeline Statlander-Kottke, MA
• Steele County Communities for a Lifetime, Inc. (Park Place Senior Living)
• Stellar Wellness
• Savannah Stoos, DPT
• Straight River Counseling LLC
• Straight River Family Dental, PLLC
• Straight River Med Van
• Erin Elaine Strayer

• Advanced Practice Dental Therapist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Advanced Practice Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.