Individual provider Active NPI

Rachel Tepe Twyman, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1093095945
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023263 Issued in OH
Practice address
2712 Erie Avenue Suite 2
Cincinnati, OH 45208
Phone
(513) 236-0669
Fax
(513) 481-4270
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-023263 OH Primary

Addresses

Primary practice location

2712 Erie Avenue Suite 2
Cincinnati, OH 45208

Mailing address

2712 Erie Avenue Suite 2
Cincinnati, OH 45208
Phone (513) 236-0669

Other names 1

  • Dr. Rachel L Tepe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150413001835 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002134582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023263OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1093095945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 ERIE AVENUE SUITE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-236-0669",
            "fax_number": "513-481-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 ERIE AVENUE SUITE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-236-0669",
            "fax_number": "513-481-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYMAN",
        "first_name": "RACHEL",
        "middle_name": "TEPE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TEPE",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.