Mark D Raisch, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

18543 Issued in OH

Practice address

4501 N High St
Columbus, OH 43214-2637

Phone

(614) 267-5413

Fax

(614) 267-2171

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Dental Wellness

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1780441501
  NPD Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1700865201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-267-5413",
            "fax_number": "614-267-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-267-5413",
            "fax_number": "614-267-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISCH",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "18543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Rainer
• Robert Rainer, MD
• Samantha Rainer
• Joshua Raines, LSW
• Katlyn Sommer Raines
• Rama K. Raja, MD
• Adrian Rajab
• Amer Rajab, M.D.
• Anand Rajan, MD
• Karthika Rajan, MD

• Public Health Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• Public Health Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.