Organization Active NPI

Dr Gerald W Rauchwarter DDS LLC

  • General Practice Dentistry
  • Eagan, MN
National Provider Identifier
1841368545
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR GERALD W RAUCHWARTER DDS LLC
Practice address
1960 Cliff Lake Road
#127
Eagan, MN 55122
Phone
(651) 681-1676
Fax
(651) 681-9085
NPI assigned
Dec 1, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Gerald Wayne Rauchwarter, DDS OWNER
Title
DDS Owner
Phone
(651) 681-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1960 Cliff Lake Road
#127
Eagan, MN 55122

Mailing address

1960 Cliff Lake Road
#127
Eagan, MN 55122
Phone (651) 681-1676

Other names 1

  • Dr Gerald W Rauchwarter DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

1960 Cliff Lake Rd
Ste 127
Eagan, MN 55122
Phone (651) 681-1676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1841368545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE ROAD",
            "address_2": "#127",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-681-1676",
            "fax_number": "651-681-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE ROAD",
            "address_2": "#127",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-681-1676",
            "fax_number": "651-681-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GERALD W RAUCHWARTER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "RAUCHWARTER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DDS OWNER",
        "authorized_official_telephone_number": "651-681-1676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS OWNER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Gerald W Rauchwarter DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.