Organization Active NPI

Pete J. Rauen D.M.D., Inc.

Doing business as Crestview Hills Dental

  • Dentist
  • Crestview Hills, KY
National Provider Identifier
1851305643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5650 Issued in KY
Legal business name
PETE J. RAUEN D.M.D., INC.
Doing business as
Crestview Hills Dental
Practice address
232 Thomas More Pkwy
Crestview Hills, KY 41017-3424
Phone
(859) 331-8880
Fax
(859) 331-7550
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Joseph Rauen, D.M.D.
Title
President
Phone
(859) 331-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5650 KY Primary

Addresses

Primary practice location

232 Thomas More Pkwy
Crestview Hills, KY 41017-3424

Mailing address

232 Thomas More Pkwy
Crestview Hills, KY 41017-3424
Phone (859) 331-8880

Other names 1

  • Crestview Hills Dental Doing business as

National Provider Directory

National Provider Directory

Locations

232 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-8880

Practitioners & affiliated clinicians

Practitioners 1

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851305643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173424",
            "telephone_number": "859-331-8880",
            "fax_number": "859-331-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173424",
            "telephone_number": "859-331-8880",
            "fax_number": "859-331-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE J. RAUEN D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAUEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-331-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.