NPIMap

Organization Active NPI

J Tim Rainey, II, D.D.S., P.C.

Doing business as Lifetime Dental

  • General Practice Dentistry
  • Boerne, TX
National Provider Identifier
1861668055
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J TIM RAINEY, II, D.D.S., P.C.
Doing business as
Lifetime Dental
Practice address
1414 E Blanco Rd
Suite 16
Boerne, TX 78006-1831
Phone
(830) 249-9300
Fax
(830) 249-9330
NPI assigned
May 7, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. J Tim Rainey II, D.D.S.NPI 1831210350
Title
President
Phone
(830) 249-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1414 E Blanco Rd
Suite 16
Boerne, TX 78006-1831

Mailing address

1414 E Blanco Rd
Suite 16
Boerne, TX 78006-1831
Phone (830) 249-9300

Other names 1

  • Lifetime Dental Doing business as

National Provider Directory

National Provider Directory

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1861668055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E BLANCO RD",
            "address_2": "SUITE 16",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061831",
            "telephone_number": "830-249-9300",
            "fax_number": "830-249-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E BLANCO RD",
            "address_2": "SUITE 16",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061831",
            "telephone_number": "830-249-9300",
            "fax_number": "830-249-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J TIM RAINEY, II, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-249-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "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": "Lifetime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.