Gregory Ward Rashall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17047 Issued in TX

Practice address

315 Crockett St
Liberty, TX 77575-4716

Phone

(936) 336-5171

Fax

(936) 336-8219

NPI assigned

Jul 26, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1417971383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775751599",
            "telephone_number": "936-336-5171",
            "fax_number": "936-336-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CROCKETT ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754716",
            "telephone_number": "936-336-5171",
            "fax_number": "936-336-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHALL",
        "first_name": "GREGORY",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Alexandria Pruitt, CCC-SLP
• Quality Care Plus LLC
• Quality Care Plus, LLC
• Quartz Point LLC (Texas Care Liberty)
• Raul Ramos Jr.
• Heather Reed, PA-C
• Alvin Joseph Richard, D.C.
• Maria Nicole Richardson, OTD
• Steven Glen Rodger, R.PH.
• Patricia Rollins

• General Practice Dentistry in Liberty, TX
• Providers in Liberty, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.