Active NPI
Rauch Dental Associates LLC
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1801438585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RAUCH DENTAL ASSOCIATES LLC
- Practice address
- 2820 E University Dr Ste 108
Mesa, AZ 85213-8505 - Phone
- (480) 361-4923
- Fax
- (480) 459-5148
- NPI assigned
- Oct 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Gaskins
- Title
- Director of Credentialing
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2820 E University Dr Ste 108
Mesa, AZ 85213-8505
Mailing address
2820 E University Dr Ste 108
Mesa, AZ 85213-8505
Phone (480) 361-4923
National Provider Directory
National Provider DirectoryLocations
2820 E University Dr
Ste 108
Mesa, AZ 85213
Phone (480) 361-4923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571011200000",
"number": "1801438585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 E UNIVERSITY DR STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852138505",
"telephone_number": "480-361-4923",
"fax_number": "480-459-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 E UNIVERSITY DR STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852138505",
"telephone_number": "480-361-4923",
"fax_number": "480-459-5148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAUCH DENTAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.