Rachell Velasco, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6883 Issued in LA

Practice address

1960 Jefferson Hwy
Lutcher, LA 70071-5119

Phone

(225) 869-4422

NPI assigned

Apr 9, 2017

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Greg S. Phillips and Associates, LLC

  • General Practice Dentistry
  • Lutcher, LA
  • NPI 1861715864
  NPD (past)

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1689107344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 SAINT MARY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304912",
            "telephone_number": "770-789-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 JEFFERSON HWY",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715119",
            "telephone_number": "225-869-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "RACHELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda St. Pierre
• Nina Wynette Taylor
• Emma Thomas
• Turner Medical Clinic
• Katherine Vaughn-Harden, CCC-SLP
• Glenda Poche Vicknair, CRNA
• Theresa Bourg Vicknair, CRNA
• Quang Duy Vu, DDS
• Brittany Walker, OT
• Steve Ray Warren Jr.

• Dentist in Lutcher, LA
• Providers in Lutcher, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.

Verify at the official NPI Registry.