Individual provider Active NPI

Rachel Anne Locey, D.D.S.

  • General Practice Dentistry
  • Dunn, NC
National Provider Identifier
1780969667
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9230 Issued in NC
Practice address
1508 Maple Grove Church Rd
Dunn, NC 28334-7688
Phone
(910) 567-6194
Fax
(910) 567-5552
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9230 NC
General Practice Dentistry 1223G0001X 9230 NC Primary

Addresses

Primary practice location

1508 Maple Grove Church Rd
Dunn, NC 28334-7688

Mailing address

100 E Sanders St
Four Oaks, NC 27524-7776
Phone (910) 567-6194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250128002985 NC Practitioner - Dentist 9032499223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc CurrentSince Oct 1, 2024 Accepting new patients
Tri County Community Health Council Inc CurrentSince Oct 1, 2024 Accepting new patients
Tri County Community Health Council Inc Current Accepting new patients

Locations

3331 Easy St
Dunn, NC 28334

100 E Sanders St
Four Oaks, NC 27524
Phone (910) 813-0814

1525 Beach Dr SW
#2
Ocean Isle Beach, NC 28469
Phone (910) 579-9600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1780969667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SANDERS ST",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275247776",
            "telephone_number": "910-567-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MAPLE GROVE CHURCH RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347688",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCEY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9230",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.