Active NPI
Rachel Trueblood, DDS
- Pediatric Dentistry
- Cedar Park, TX
National Provider Identifier
1891850103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22743
- Practice address
- 1335 E Whitestone Blvd
#128
Cedar Park, TX 78613-7598 - Phone
- (512) 259-8888
- Fax
- (512) 259-8898
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22743 | TX | Primary |
Addresses
Primary practice location
1335 E Whitestone Blvd
#128
Cedar Park, TX 78613-7598
Mailing address
1335 E Whitestone Blvd
#128
Cedar Park, TX 78613-7598
Phone (512) 259-8888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22743 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1891850103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD",
"address_2": "#128",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137598",
"telephone_number": "512-259-8888",
"fax_number": "512-259-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD",
"address_2": "#128",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137598",
"telephone_number": "512-259-8888",
"fax_number": "512-259-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUEBLOOD",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.