Polk Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

POLK ORTHODONTICS, LLC

Practice address

6425 Stage Rd Ste 7
Bartlett, TN 38134-3731

Phone

(901) 382-3050

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kaitlin Polk Rausch, DDS, MDSNPI 1720518160

Title

Owner

Phone

(580) 504-7633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlin Polk Rausch, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bartlett, TN
  • NPI 1720518160
  NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1891426201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD STE 7",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD STE 7",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731",
            "telephone_number": "901-382-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "POLK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-504-7633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carr Pickett, LPC/MHSP
• Sue A Piller, ANP-BC
• Ursula Pitts-Baskin, RN, BSN
• Alyssa Pizano
• Christopher Mark Pokabla, M.D.
• Heather H Polmonari, NP
• Cynthia Luaune Poole, LMSW, LCSW
• Emily L Poppelreiter
• Ashley Porter, MSED
• Tiffany Porter, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.