NPIMap

Organization Active NPI

Brush: a Family Dentistry LLC

  • General Practice Dentistry
  • Alexandria, LA
National Provider Identifier
1053782599
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5913 Issued in LA
Legal business name
BRUSH: A FAMILY DENTISTRY LLC
Practice address
2227 Worley Dr
Alexandria, LA 71301-3631
Phone
(318) 542-4004
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Dr. Sherea B Rachal, DMDNPI 1043475858
Title
Owner
Phone
(318) 542-4004

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5913 LA Primary

Addresses

Primary practice location

2227 Worley Dr
Alexandria, LA 71301-3631

Mailing address

PO Box 12848
Alexandria, LA 71315-2848
Phone (318) 540-4004

National Provider Directory

National Provider Directory

Locations

2227 Worley Dr
Alexandria, LA 71301
Phone (318) 445-4870

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": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1053782599",
    "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": "713152848",
            "telephone_number": "318-540-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013631",
            "telephone_number": "318-542-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH: A FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "RACHAL",
        "authorized_official_first_name": "SHEREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-542-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.