Organization Active NPI

Rachel T Deal DDS PLLC

  • Dentist
  • Greenbrier, AR
National Provider Identifier
1023604857
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RACHEL T DEAL DDS PLLC
Practice address
8 Wilson Farm Rd Ste B
Greenbrier, AR 72058-8200
Phone
(501) 679-4040
Fax
(501) 679-1242
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Rachel T Deal, DDSNPI 1740297365
Title
Dentist/Owner
Phone
(501) 679-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8 Wilson Farm Rd Ste B
Greenbrier, AR 72058-8200

Mailing address

PO Box 1229
Greenbrier, AR 72058-1229
Phone (501) 679-4040

Other identifiers 1

IdentifierTypeStateIssuer
149969608MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address racheldealdds@hotmail.com

National Provider Directory

National Provider Directory

Locations

8 Wilson Farm Rd
Ste B
Greenbrier, AR 72058
Phone (501) 679-4040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1023604857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720581229",
            "telephone_number": "501-679-4040",
            "fax_number": "501-679-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE B",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-679-4040",
            "fax_number": "501-679-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL T DEAL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "501-679-4040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149969608",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "racheldealdds@hotmail.com",
            "affiliation": "N",
            "address_1": "8 Wilson Farm Rd Ste B",
            "city": "Greenbrier",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720588200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.