Individual provider Active NPI

Rachelle Anne Riepe, D.M.D.

  • Dentist
  • Clallam Bay, WA
National Provider Identifier
1497987929
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60105845 Issued in WA
Practice address
1830 Eagle Crest Way
Clallam Bay, WA 98326-9724
Phone
(360) 670-3135
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60105845 WA Primary

Addresses

Primary practice location

1830 Eagle Crest Way
Clallam Bay, WA 98326-9724

Mailing address

PO Box 137
Clallam Bay, WA 98326-0137
Phone (360) 670-3135

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
DE60105845WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1497987929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "CLALLAM BAY",
            "state": "WA",
            "postal_code": "983260137",
            "telephone_number": "360-670-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 EAGLE CREST WAY",
            "city": "CLALLAM BAY",
            "state": "WA",
            "postal_code": "983269724",
            "telephone_number": "360-670-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEPE",
        "first_name": "RACHELLE",
        "middle_name": "ANNE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60105845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clallam Bay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.