Kaitlin Polk Rausch, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11850 Issued in TN

Practice address

6425 Stage Rd
Bartlett, TN 38134-3731

Phone

(901) 382-3050

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Polk Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bartlett, TN
  • NPI 1891426201
  NPD Authorized official

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1720518160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD STE 7",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731",
            "telephone_number": "901-382-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731",
            "telephone_number": "901-382-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 SW 104th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731392990",
            "country_code": "US",
            "telephone_number": "405-582-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "KAITLIN",
        "middle_name": "POLK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6920",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "11850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F Rainey, DPH.
• Jorge Ramirez, LCSW
• Lori Denise Ramsawack, NP
• James Aaron Ransom, PHARMD
• Ariel Ratliff, LPC-MHSP
• Lauren Scott Ray, WHNP
• Sharon Rayford, PTA
• Brian Reed
• Karen P Reed, LCSW
• Elisheva Reese, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.