Active NPI
Rebecca Watson Himm Kajtar, D.D.S.
- Dentist
- Livonia, MI
National Provider Identifier
1053449165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019401
- Practice address
- 16824 Newburgh Rd
Livonia, MI 48154-1600 - Phone
- (734) 421-0121
- Fax
- (734) 421-1163
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019401 | MI | Primary |
Addresses
Primary practice location
16824 Newburgh Rd
Livonia, MI 48154-1600
Mailing address
16824 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 421-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D194010 | Other | MI | BLUE CROSS BLUESHIELD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160610001374 | MI | Order and Referring Only - Other (Non-Physician) | 7719277227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019401 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1053449165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16824 NEWBURGH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541600",
"telephone_number": "734-421-0121",
"fax_number": "734-421-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16824 NEWBURGH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541600",
"telephone_number": "734-421-0121",
"fax_number": "734-421-1163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAJTAR",
"first_name": "REBECCA",
"middle_name": "WATSON HIMM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUESHIELD PIN",
"identifier": "D194010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.