Active NPI
Rachael Tyler Smoot McGehee, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Pensacola, FL
National Provider Identifier
1689914921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DEN.00204420
- 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, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151214000746 | LA | Order and Referring Only - Oral Surgery | 7618278847 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7162 | LA | MD | Mental Health Counselor |
| DEN.00204420 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
| DN24039 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1811018211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.