Organization Active NPI

Todd Rathke DDS, PLC

  • General Practice Dentistry
  • Bay City, MI
National Provider Identifier
1912274531
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018260 Issued in MI
Legal business name
TODD RATHKE DDS, PLC
Practice address
2272 21St St
Bay City, MI 48708-7407
Phone
(989) 894-0061
Fax
(989) 894-0269
NPI assigned
Nov 28, 2011
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Todd Rathke, DDSNPI 1487634093
Title
Member
Phone
(989) 894-0061

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 2901018260 MI Primary

Addresses

Primary practice location

2272 21St St
Bay City, MI 48708-7407

Mailing address

2272 21St St
Bay City, MI 48708-7407
Phone (989) 894-0061

National Provider Directory

National Provider Directory

Locations

2272 21st St
Bay City, MI 48708
Phone (989) 894-0061

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1912274531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 21ST ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087407",
            "telephone_number": "989-894-0061",
            "fax_number": "989-894-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 21ST ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087407",
            "telephone_number": "989-894-0061",
            "fax_number": "989-894-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD RATHKE DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "RATHKE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-894-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.