1194895698 NPI number — DR. FRANK A RAINIERI DMD

Table of content: DR. FRANK A RAINIERI DMD (NPI 1194895698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194895698 NPI number — DR. FRANK A RAINIERI DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAINIERI
Provider First Name:
FRANK
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194895698
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
95 TOP MEADOW LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERKELEY SPRINGS
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25411-6073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-258-1623
Provider Business Mailing Address Fax Number:
304-258-1623

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
261 BERKMORE PLACE
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
BERKELEY SPRINGS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25411-6247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-258-1623
Provider Business Practice Location Address Fax Number:
304-258-1623
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  3156 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0134030000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com