Individual provider Active NPI

Rachel Elaine Equihua, DMD

  • General Practice Dentistry
  • Great Falls, MT
National Provider Identifier
1487178729
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20570 Issued in MT
Practice address
1825 9TH Ave S
Great Falls, MT 59405-2621
Phone
(941) 357-6487
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9972 AZ
General Practice Dentistry 1223G0001X 4210 AR
General Practice Dentistry 1223G0001X 20570 MT Primary

Addresses

Primary practice location

1825 9TH Ave S
Great Falls, MT 59405-2621

Mailing address

1825 9TH Ave S
Great Falls, MT 59405-2621
Phone (941) 357-6487

Other practice location 1

340 S 12th Ave
Show Low, AZ 85901-5774
Phone (941) 357-0675

Other practice location 2

5111 Rogers Ave
Fort Smith, AR 72903
Phone (479) 431-6708

Other names 1

  • Rachel Elaine Downing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4210ARMDGeneral Practice Dentistry
20570MTMDGeneral Practice Dentistry
9972AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East 22ND Street Dental, P.C. General Practice Past Accepting new patients
Tremont Road Dental Super, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1487178729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 9TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052621",
            "telephone_number": "941-357-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 9TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052621",
            "telephone_number": "941-357-6487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859015774",
            "country_code": "US",
            "telephone_number": "941-357-0675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5111 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "72903",
            "country_code": "US",
            "telephone_number": "479-431-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EQUIHUA",
        "first_name": "RACHEL",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9972",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4210",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "20570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DOWNING",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.