Sherea Bowden Rachal, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5913 Issued in LA

Practice address

3439 McGehee Rd Ste 22B
Montgomery, AL 36111-3392

Phone

(334) 288-1868

Fax

(334) 288-1825

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brush Family Dentistry LLC

  • Dentist
  • Calera, AL
  • NPI 1740018845
  NPD Authorized official
• Brush: a Family Dentistry LLC

  • General Practice Dentistry
  • Alexandria, LA
  • NPI 1053782599
  NPD (past) Authorized official
• Advantage Dental Oral Health and Vision Center of Alabama, P.C.

  • Optometrist
  • Alexander City, AL
  • NPI 1205312378
  NPD (past)
• Advantage Dental Oral Health and Vision Center of Alabama, P.C.

  • Pediatric Dentistry
  • Pinson, AL
  • NPI 1245530161
  NPD (past)
• Advantage Dental Oral Health and Vision Center of Alabama, P.C.

  • Pediatric Dentistry
  • Alexander City, AL
  • NPI 1407133978
  NPD (past)
• Montgomery Smiles Youth Dentistry, PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1740351758
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1043475858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12848",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71315",
            "telephone_number": "318-542-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 MCGEHEE RD STE 22B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113392",
            "telephone_number": "334-288-1868",
            "fax_number": "334-288-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 WORLEY DR",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713025454",
            "country_code": "US",
            "telephone_number": "318-542-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "SHEREA",
        "middle_name": "BOWDEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5913",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006849-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA DENTAL LICENSE",
            "identifier": "5913",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• R Charles Goodman, Jr, OD, LLC
• R W Barnett Radiology PLLC
• Dallas Rabig, LPC
• James Wesley Rabon, PHYSICIAN
• Radiology Group, P.a.
• Addison P Ragan, PHARM.D.
• Blake Stephen Raggio, MD
• Nitha Raghu, DDS
• Greshundria Manik Raines, OTR

• Dentist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.