Active NPI
J Tim Rainey, II, D.D.S., P.C.
- General Practice Dentistry
- Boerne, TX
National Provider Identifier
1861668055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- J TIM RAINEY, II, D.D.S., P.C.
- 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
- 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
- Dr. J Tim Rainey II, D.D.S.
- Title
- President
- Phone
- (830) 249-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Boerne, TX
- NPI 1952496317
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.