Individual provider Active NPI

Racheal Marie Hamel, DDS

  • General Practice Dentistry
  • Covington, KY
National Provider Identifier
1679887111
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8964 Issued in KY
Practice address
1401 Madison Ave
Covington, KY 41011
Phone
(859) 655-6100
Fax
(859) 655-6148
NPI assigned
Jul 26, 2010
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023279 OH
General Practice Dentistry 1223G0001X 8964 KY Primary

Addresses

Primary practice location

1401 Madison Ave
Covington, KY 41011

Mailing address

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6100

Other identifiers 1

IdentifierTypeStateIssuer
7100143670MedicaidKY

Other names 1

  • Dr. Racheal Marie Peavie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001592 KY Order and Referring Only - Other (Non-Physician) 2466749205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023279OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Racheal Hamel DDS PLLC General Practice CurrentSince Sep 20, 2022 Accepting new patients

Locations

2220 Grandview Dr
Ste 240
Ft Mitchell, KY 41017
Phone (859) 344-0400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1679887111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113313",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "RACHEAL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023279",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100143670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEAL",
            "last_name": "PEAVIE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.