Rachel George Boutros, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418795 Issued in VA

Practice address

11 Smokehouse Dr Ste 115
Fredericksburg, VA 22406-8455

Phone

(540) 899-7751

NPI assigned

Jul 6, 2022

Last updated

May 16, 2025By 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 FL

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.

• Neibauer Dental Care, PC

  dba Neibauer Dental Care - Falmouth

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1770850398
  NPD (past)
• Comfortable Care Dental Health Professionals, P.a.

  dba The Ranch Dental Care

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1952054447
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1568195683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 NAUTICA LAKE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635946",
            "telephone_number": "561-319-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SMOKEHOUSE DR STE 115",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224068455",
            "telephone_number": "540-899-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "RACHEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27149",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Bory, PH.D
• Beverley L Bouchard, CPM, LM
• Emilie Anne-Marie Bouchard
• Alfred Larry Boulware, M.D.
• Valerie H. Boulware, M.D.
• Rebecca Marie Bove, PT, DPT
• Michael Bowen, D.P.M.
• Shaina Bowen
• Bowers Family Chiropractic PC
• Jeffrey Earl Bowers, DC

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.