Rebecca Ruth Alumbaugh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2021021255 Issued in MO

Practice address

121 N Main Ave
Bolivar, MO 65613-1517

Phone

(417) 422-4540

NPI assigned

Jun 10, 2021

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.alumbaugh.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc

  dba Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1558303057
  Medicare reassignment NPD
• Advocates for a Healthy Community Inc

  dba Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Buffalo, MO
  • NPI 1750179610
  NPD
• Heather Wilson DDS LLC

  dba Kimbrough Dental Associates

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1386218824
  NPD (past)
• Kimbrough Dental Associates LLC

  dba Drs Susan Perotka DMD and Dena Michelle Easterly DDS

  • Dentist
  • Springfield, MO
  • NPI 1932180023
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1053988634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E HINES ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381279",
            "telephone_number": "816-457-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131517",
            "telephone_number": "417-422-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUMBAUGH",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61850",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2021021255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Monk Alderfer, MD
• Anna Aleshire, PA-C
• Sandra A Allan, PT
• Seth Daniel Alley
• Alpha-Omega Orthotics & Prosthetics, Inc.
• Debra Ann Anderson, PSY.D.
• Kaylee Jaynelle Ankrom
• Nadia Ariqat, PA-C
• Hannah Ashlock, PA-C
• Associates in Medicine

• Dentist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.