Individual provider Active NPI

Rachel Ab Low, DMD

  • Dentist
  • Henderson, NV
National Provider Identifier
1609350545
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7127 Issued in NV
Practice address
4301 E Sunset Rd Ste 100
Henderson, NV 89014-2238
Phone
(702) 465-8187
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7127 NV
Dentist 122300000X 7127 NV Primary

Addresses

Primary practice location

4301 E Sunset Rd Ste 100
Henderson, NV 89014-2238

Mailing address

PO Box 74
Blue Diamond, NV 89004-0074
Phone (815) 814-1068

Other practice location 1

7101 W Craig Rd Ste 102
Las Vegas, NV 89129-6059
Phone (702) 957-1045

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rachel.bush@pacden.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190726002020 CA Order and Referring Only - DentistPractitioner - Dentist 8123354206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7127NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mugleston Green Valley Modern Dentistry, PC General Practice PastSince Jan 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.bush@pacden.com

Organizations & group practices 1

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1609350545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "BLUE DIAMOND",
            "state": "NV",
            "postal_code": "890040074",
            "telephone_number": "815-814-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 E SUNSET RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142238",
            "telephone_number": "702-465-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 W Craig Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891296059",
            "country_code": "US",
            "telephone_number": "702-957-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOW",
        "first_name": "RACHEL",
        "middle_name": "AB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7127",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachel.bush@pacden.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4301 E Sunset Rd Ste 100",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890142238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.