Individual provider Active NPI

Rachel Mechelle Potter-Spears, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1861824294
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6412 Issued in LA
Practice address
2029 Oretha Castle Haley Blvd
New Orleans, LA 70113-1410
Phone
(504) 523-3209
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6412 LA Primary

Addresses

Primary practice location

2029 Oretha Castle Haley Blvd
New Orleans, LA 70113-1410

Mailing address

2029 Oretha Castle Haley Blvd
New Orleans, LA 70113-1410
Phone (504) 523-3209

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
6412LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Family Dentistry, Inc CurrentSince Jan 29, 2023 Accepting new patients

Locations

2029 Oretha Castle Haley Blvd
New Orleans, LA 70113
Phone (504) 523-3209

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1861824294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 ORETHA CASTLE HALEY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131410",
            "telephone_number": "504-523-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 ORETHA CASTLE HALEY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131410",
            "telephone_number": "504-523-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER-SPEARS",
        "first_name": "RACHEL",
        "middle_name": "MECHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.