Active NPI
Kim D Rausch, DMD
- Dentist
- Haddonfield, NJ
National Provider Identifier
1992314025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI19460
- Practice address
- 75 N Haddon Ave
Haddonfield, NJ 08033-2425 - Phone
- (856) 429-1966
- Fax
- (856) 429-1966
- NPI assigned
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI19460 | NJ | Primary |
Addresses
Primary practice location
75 N Haddon Ave
Haddonfield, NJ 08033-2425
Mailing address
75 N Haddon Ave
Haddonfield, NJ 08033-2425
Phone (856) 429-1966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI19460 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1992314025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N HADDON AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080332425",
"telephone_number": "856-429-1966",
"fax_number": "856-429-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N HADDON AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080332425",
"telephone_number": "856-429-1966",
"fax_number": "856-429-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUSCH",
"first_name": "KIM",
"middle_name": "D",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI19460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haddonfield, NJ
- Richard J Pressman, D.P.M.
- Progressive Orthopedic Associates
- Psychological Service Associates,PA
- Pursuit of Purpose Counseling Services LLC
- Quiet Waters Wellness LLC
- Nicholas Joseph Rausch Jr., DMD
- Constance M Reader, LCSW
- Lydia A Reese, M.S. LAC.
- Rehab It Sport and Spine LLC
- Robert Charles 'Chad' Renshaw, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.