Rachel Anne Poppel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12409 Issued in MN

Practice address

2717 Ekko Ave
Albert Lea, MN 56007-2070

Phone

(507) 373-5968

Fax

(507) 373-8410

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advanced Family Dental PA

  • General Practice Dentistry
  • Albert Lea, MN
  • NPI 1548540321
  NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1467651497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EKKO AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072070",
            "telephone_number": "507-373-5968",
            "fax_number": "507-373-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 EKKO AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072070",
            "telephone_number": "507-373-5968",
            "fax_number": "507-373-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEL",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443655000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Donald Peterson, D.C.
• Patricia Fay Peterson, OTR/L
• Jeanette Rae Phillips, CMT
• Briane Plantage
• Amy Pleimling, RD RDN
• Cole Richard Praus
• Holly Beth Raatz
• Megan Rahn
• Luverne Robert Rasmussen Jr., PT
• Jerilyn Marie Ree, O.D.

• Dentist in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.