Individual provider Active NPI

Rebeca Yutzy Zechmann, D.D.S.

  • Public Health Dentistry
  • Daniel Island, SC
National Provider Identifier
1023393329
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
8915 Issued in SC
Practice address
145 River Landing Dr Unit 102
Daniel Island, SC 29492-8612
Phone
(843) 242-0645
NPI assigned
Oct 18, 2011
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 8915 SC Primary
General Practice Dentistry 1223G0001X 14878 MD

Addresses

Primary practice location

145 River Landing Dr Unit 102
Daniel Island, SC 29492-8612

Mailing address

145 River Landing Dr Unit 201
Daniel Island, SC 29492-8612
Phone (843) 242-0645

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
8915SCMDPublic Health Dentist
14878MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
River Landing Dentistry LLC Current Accepting new patients
Bel Air Dental Health Associates General Practice Past Accepting new patients

Locations

145 River Landing Dr
Unit 102
Daniel Island, SC 29492
Phone (843) 242-0645

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1023393329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVER LANDING DR UNIT 201",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928612",
            "telephone_number": "843-242-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVER LANDING DR UNIT 102",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928612",
            "telephone_number": "843-242-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHMANN",
        "first_name": "REBECA",
        "middle_name": "YUTZY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "SC",
            "license": "8915",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.