Rachael J Cresto, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30632 Issued in TX

Practice address

1013 W University Ave Ste 345
Georgetown, TX 78628-5345

Phone

(512) 869-4850

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Rachael J Schawel Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

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

• Legend Dental-Georgetown

  dba Legend Dental & Orthodontics

  • Dentist
  • Georgetown, TX
  • NPI 1699042259
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1962497412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 345",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285345",
            "telephone_number": "512-869-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 345",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285345",
            "telephone_number": "512-869-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESTO",
        "first_name": "RACHAEL",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9866",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3823",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010834",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SCHAWEL",
            "middle_name": "J",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig Staebel M.D., P.a. (Georgetown Plastic Surgery)
• Callie Crain
• Andrew P Creal, P.T.
• Credence Chiropractic LLC
• Molly Crenshaw
• Cheryl Lonero Crosby, LPC
• Craig Crossman, PTA
• Kandice May Crow
• Kari Crow
• Jack Crownover, MA, LPC

• Dentist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.