Mary Webster Rachal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6568 Issued in LA

Practice address

518 Durham St
Bastrop, LA 71220-5013

Phone

(318) 283-8887

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

No

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

Locations

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.

• Morehouse Community Medical Centers, Inc.

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191

  Dentist

  Medicare reassignment NPD
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1114740438
  NPD
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, LA
  • NPI 1649609843
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1801275573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 MILTON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012651",
            "telephone_number": "318-737-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 DURHAM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205013",
            "telephone_number": "318-283-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "MARY",
        "middle_name": "WEBSTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahir M Qayyum, MD
• Quality Home Health Long Term Care Inc
• Quality Long Term Care LLC
• Quality Long Term Care LLC
• Lakeisha Qualls
• Deborah Ray
• Stephanie Razon, MOT/LOTR
• RC Moore Respite & Pca
• RC Moore Sil
• Brooklyn Rea, MS CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.