Individual provider Active NPI

Rachael Tyler Smoot McGehee, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pensacola, FL
National Provider Identifier
1689914921
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN.00204420 Issued in CO
Practice address
4850 N 9TH Ave Ste 4
Pensacola, FL 32503-2406
Phone
(850) 477-1125
Fax
(850) 479-5809
NPI assigned
Feb 24, 2013
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7162 LA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN24039 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN.00204420 CO Primary

Addresses

Primary practice location

4850 N 9TH Ave Ste 4
Pensacola, FL 32503-2406

Mailing address

2937 Veterans Memorial Blvd Ste C
Metairie, LA 70002-6067
Phone (504) 208-3647

Other practice location 1

1050 S 8th St
Colorado Springs, CO 80905-7307
Phone (719) 633-8455

Other practice location 2

2937 Veterans Memorial Blvd Ste C
Metairie, LA 70002-6067
Phone (504) 208-3647

Other names 1

  • Dr. Rachael Tyler Smoot Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151214000746 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618278847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7162LAMDMental Health Counselor
DEN.00204420COMDOral and Maxillofacial Surgery (Dentist)
DN24039FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - South 8TH Street P.C. 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, 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": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1689914921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 VETERANS MEMORIAL BLVD STE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026067",
            "telephone_number": "504-208-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 N 9TH AVE STE 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032406",
            "telephone_number": "850-477-1125",
            "fax_number": "850-479-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809057307",
            "country_code": "US",
            "telephone_number": "719-633-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2937 Veterans Memorial Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700026067",
            "country_code": "US",
            "telephone_number": "504-208-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGEHEE",
        "first_name": "RACHAEL",
        "middle_name": "TYLER SMOOT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "7162",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN24039",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00204420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SMOOT",
            "middle_name": "TYLER",
            "prefix": "DR.",
            "credential": "DDS, MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.