T.A. RAINBOLT, DDS, P.A. (NPI# 1700847043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700847043 |
| Entity Type | Organization |
| Organization Name | T.A. RAINBOLT, DDS, P.A. |
| Other Organization Name | OTTAWA KANSAS FAMILY DENTISTRY |
| Practice Address |
1334 S. Main Street Ottawa KS 66067 |
| Mailing Address |
1425 Wakarusa Drive Suite A Lawrence KS 66049 |
| Practice Telephone | 7852425753 |
| Practice Fax Number | 7852428359 |
| Mailing Telephone | 7858413311 |
| Mailing Fax Number | 7858430421 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | THOMAS A. RAINBOLT (PRESIDENT) |
| Authorized Official Telephone | 7858413311 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Ottawa Kansas Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1334 S. MAIN STREET |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
| 1447220405 | Curtis John Bittner | Nurse Anesthetist, Certified Registered | 1301 South Main, Ottawa, KS 66067 | 2006-01-24 |
| Find all providers in zip 66067 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578773313 | Thomas Wesley Miller | Dentist | 111 W Glover St, Ottawa, IL 61350-3931 | 2007-05-23 |
| 1346453636 | John C Harbeck Dds PC | Dentist | 1210 W Madison St, Ottawa, IL 61350 | 2007-05-07 |
| 1265650691 | Robert William Schmidt | Dentist | 333 E Norris Dr, Ottawa, IL 61350-1518 | 2007-04-23 |
| 1447302773 | Hunter Clark Davis | Dentist | 230 W. Main St, Ottawa, IL 61350 | 2007-01-17 |
| 1275697666 | William Curtis Vesely | Dentist | 111 E Mckinley Rd, Ottawa, IL 61350-4801 | 2006-12-20 |
| 1821189606 | Lex E Gislar | Dentist | 113 E 11th St, Ottawa, KS 66067-3501 | 2006-09-27 |
| 1750489860 | David F. Poeppelman | Dentist | 1808 N Perry St, Ottawa, OH 45875-1129 | 2006-09-20 |
| 1669570263 | John Michael Conness | Dentist | 1704 Polaris Cir Ste 1, Ottawa, IL 61350-1774 | 2006-09-20 |
| 1225147937 | David Lee Meling | Dentist | 1704 Polaris Cir, Ottawa, IL 61350-1773 | 2006-08-29 |
| 1740299627 | Kevin Michael Cook | Dentist | 1404 Aquarius Cir, Ottawa, IL 61350-8914 | 2006-08-07 |
| Find all providers in OTTAWA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.