Active NPI
Rebecca Fountain, D.D.S.
- Pediatric Dentistry
- Brighton, CO
National Provider Identifier
1043756950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00203525
- Practice address
- 3494 Eagle Blvd
Brighton, CO 80601 - Phone
- (303) 659-9543
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | DEN.00203525 | CO | Primary |
Addresses
Primary practice location
3494 Eagle Blvd
Brighton, CO 80601
Mailing address
1249 York St Apt 1
Denver, CO 80206-3082
Phone (818) 425-7510
Other practice location 1
1575 Wheeling St
Aurora, CO 80045-7228
Phone (720) 777-6788
Other names 1
- Dr. Rebecca Moss
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 |
|---|---|---|---|
| DEN.00203525 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- rfountain92994@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1043756950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 YORK ST APT 1",
"city": "DENVER",
"state": "CO",
"postal_code": "802063082",
"telephone_number": "818-425-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3494 EAGLE BLVD",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "80601",
"telephone_number": "303-659-9543"
}
],
"practiceLocations": [
{
"address_1": "1575 Wheeling St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457228",
"country_code": "US",
"telephone_number": "720-777-6788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOUNTAIN",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00203525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MOSS",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.