Rachel A Bishop, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

322567 Issued in LA

Practice address

5718 Marina Bay Dr
Shreveport, LA 71119-3918

Phone

(903) 387-0728

NPI assigned

Mar 2, 2014

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Children's Hospital
  • Shreveport, LA
  • NPI 1679617849
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Pediatric Surgery Physician
  • Galveston, TX
  • NPI 1851631709
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1922596170
  NPD
• Shriners Hospitals for Children

  dba Shriners Children's Hawaii

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• David K Clark DDS - Oral Surgery Associates-Apdc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Shreveport, LA
  • NPI 1497054613
  NPD (past)
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1568803732
  NPD (past)

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1124443064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 MARINA BAY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193918",
            "telephone_number": "903-387-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 MARINA BAY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193918",
            "telephone_number": "903-387-0728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Samford Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034239",
            "country_code": "US",
            "telephone_number": "318-226-5823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Bert Kouns Industrial Loop Ste D",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183351",
            "country_code": "US",
            "telephone_number": "318-687-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "322567",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "S5561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Birdsong Fellows, NP
• Joasetta Birdsong
• Leona Birdsong
• Birth Well Shreveport Nonprofit Corporation
• Alesia Gayle Bishop, PSYD, MSSW,LCSW-BACS
• Kimberly Bissell
• Billie Elizabeth Bitowski, RNC FNP
• Melodee Bivens, PHARMD
• Breanna Black, CRNA
• Catherine Jean Black

• Oral and Maxillofacial Surgery (Dentist) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.