Rensselaer Family Denitistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009225 Issued in IN

Legal business name

RENSSELAER FAMILY DENITISTRY LLC

Practice address

210 N Front St
Rensselaer, IN 47978-2620

Phone

(219) 866-4533

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Castor, DDS

Title

Owner

Phone

(219) 866-4533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1801102868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N FRONT ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782620",
            "telephone_number": "219-866-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N FRONT ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782620",
            "telephone_number": "219-866-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAER FAMILY DENITISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-866-4533",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Pulver, MSPT
• Randy W Raff, RPH
• Ramesh S Gaud MD PC
• Beatrice Rausch, SCHOOL PSYCHOLOGIST
• Rensselaer Central Schools Corporation
• Rensselaer Family Dentistry
• Rensselaer Family Dentistry 2 LLC
• Kelsey Ritter
• Robert E Darnaby
• Jessica Ann Robinson, PHARMD

• General Practice Dentistry in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.