Active NPI
Racheal Marie Hamel, DDS
- General Practice Dentistry
- Covington, KY
National Provider Identifier
1679887111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8964
- 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, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100143670 | Medicaid | KY |
Other names 1
- Dr. Racheal Marie Peavie
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922001592 | KY | Order and Referring Only - Other (Non-Physician) | 2466749205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023279 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racheal Hamel DDS PLLC | General Practice | Current | 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.
-
dba NKY Smile Company
- General Practice Dentistry
- Ft Mitchell, KY
- NPI 1831811421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.