Individual provider Active NPI

Scott Wunderlich Rachels Jr.

  • General Practice Dentistry
  • Mount Juliet, TN
National Provider Identifier
1790127892
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9706 Issued in TN
Practice address
40 W Caldwell St
Suite 101
Mount Juliet, TN 37122-2910
Phone
(615) 754-5840
NPI assigned
Jul 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9706 TN Primary

Addresses

Primary practice location

40 W Caldwell St
Suite 101
Mount Juliet, TN 37122-2910

Mailing address

40 W Caldwell St
Suite 101
Mount Juliet, TN 37122-2910
Phone (615) 754-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9706TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Dental Studio Current Accepting new patients

Locations

3046 Columbia Ave
Ste 201
Franklin, TN 37064
Phone (615) 595-8070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1790127892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 101",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-754-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 101",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-754-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHELS",
        "first_name": "SCOTT",
        "middle_name": "WUNDERLICH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.