Active NPI
Rebecca L Wagner, D.D.S., M.S.
- Dentist
- Chambersburg, PA
National Provider Identifier
1093020372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039409
- Practice address
- 129 Chambers Hill Dr
Chambersburg, PA 17201-7302 - Phone
- (717) 263-0606
- NPI assigned
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10486 | MD | |
| Dentist | 122300000X | DS039409 | PA | Primary |
Addresses
Primary practice location
129 Chambers Hill Dr
Chambersburg, PA 17201-7302
Mailing address
129 Chambers Hill Dr
Chambersburg, PA 17201-7302
Phone (717) 263-0606
Other names 1
- Dr. Rebecca W Bye
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10486 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1093020372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CHAMBERS HILL DR",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017302",
"telephone_number": "717-263-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 CHAMBERS HILL DR",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017302",
"telephone_number": "717-263-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "10486",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BYE",
"middle_name": "W",
"prefix": "DR.",
"credential": "DDS, MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.