Rachel Leah Smith, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19989 Issued in FL

Practice address

1747 US Highway 1 S
St Augustine, FL 32084-4238

Phone

(904) 495-0881

NPI assigned

Jun 28, 2012

Last updated

Nov 10, 2014By 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 MD

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

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.

• Kevon E. Rennie DMD, P.a.

  dba Aspen Dental

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1649633470
  NPD (past)
• Rennigade Dental Group PLLC

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1316600356
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1225392889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 BAYMEADOWS RD E APT 324",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563985",
            "telephone_number": "941-447-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844238",
            "telephone_number": "904-495-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11538",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Ann Smith, M.D.
• Keeley Smith
• Laquita Smith
• Nicole Christina Smith, APRN-CNM
• Patricia Outen Smith, LCSW
• Ripp A Smith, M.D.
• Shakayla Shanice Smith, RN
• Shantel Anitra Smith, PHARMD
• Stephanie Smith, PHARMD
• Taylor Smith

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.