Active NPI
Rachel Ea, DMD
- General Practice Dentistry
- Lutcher, LA
National Provider Identifier
1053971523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6995
- Practice address
- 1960 Jefferson Hwy
Lutcher, LA 70071-5119 - Phone
- (225) 304-6342
- NPI assigned
- Jun 17, 2019
- Last updated
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6995 | LA | Primary |
Addresses
Primary practice location
1960 Jefferson Hwy
Lutcher, LA 70071-5119
Mailing address
4740 Homerdale Ave
Toledo, OH 43623-3211
Phone (419) 277-2086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6995 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna P Zaguro Corp | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New Orleans, LA
- NPI 1346813433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1053971523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 HOMERDALE AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233211",
"telephone_number": "419-277-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 JEFFERSON HWY",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715119",
"telephone_number": "225-304-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EA",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Bradley Joseph Digerolamo, P.D., RPH
- Dr. Greg S. Phillips and Associates, LLC
- Hailey Entremont, N.P.
- Frank Boyd Favaloro, D D S
- Michael Thomas Favaloro, D D S
- Geaux 2 Transport Solutions, L.L.C.
- Scott Giardina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.