Active NPI
Rachelle Marie Nowlin, D.M.D.
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1568442622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026285
- Practice address
- The Ohio State College of Dentistry
305 W 12TH Avenue
Columbus, OH 43210 - Phone
- (614) 257-5017
- NPI assigned
- Jan 17, 2006
- Last updated
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2056 | MT | |
| General Practice Dentistry | 1223G0001X | 5698 | LA | |
| General Practice Dentistry | 1223G0001X | DN25639 | FL | |
| General Practice Dentistry | 1223G0001X | 30.026285 | OH | Primary |
Addresses
Primary practice location
The Ohio State College of Dentistry
305 W 12TH Avenue
Columbus, OH 43210
Mailing address
2110 Westover Rd
Columbus, OH 43221-3760
Phone (813) 777-8172
Other names 1
- Dr. Rachelle Marie Smith
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN25639 | FL | MD | General Practice Dentistry |
| 5698 | LA | MD | General Practice Dentistry |
| 30.026285 | OH | MD | General Practice Dentistry |
| 2056 | MT | MD | Physical Therapist |
Interoperability endpoints
- rnowlin1542535@direct.osumc.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1568442622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 WESTOVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213760",
"telephone_number": "813-777-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE OHIO STATE COLLEGE OF DENTISTRY",
"address_2": "305 W 12TH AVENUE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-257-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWLIN",
"first_name": "RACHELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2023-02-13",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "2056",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5698",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25639",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHELLE",
"last_name": "SMITH",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.