Active NPI
Ryan Joseph Rachal, DDS
- General Practice Dentistry
- Farmerville, LA
National Provider Identifier
1649709791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6785
- Practice address
- 7699 Highway 2
Farmerville, LA 71241-6165 - Phone
- (318) 368-9518
- NPI assigned
- Jun 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6785 | LA | Primary |
Addresses
Primary practice location
7699 Highway 2
Farmerville, LA 71241-6165
Mailing address
2215 Valencia St
Monroe, LA 71201-2309
Phone (318) 348-6524
Other practice location 1
414 Ross St
Oak Grove, LA 71263-9727
Phone (318) 428-4255
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 |
|---|---|---|---|
| 6785 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Grove Dental | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Oak Grove, LA
- NPI 1225338593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649709791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 VALENCIA ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712012309",
"telephone_number": "318-348-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7699 HIGHWAY 2",
"city": "FARMERVILLE",
"state": "LA",
"postal_code": "712416165",
"telephone_number": "318-368-9518"
}
],
"practiceLocations": [
{
"address_1": "414 Ross St",
"address_purpose": "LOCATION",
"city": "Oak Grove",
"state": "LA",
"postal_code": "712639727",
"country_code": "US",
"telephone_number": "318-428-4255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RACHAL",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmerville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.