Active NPI
Rebecca Jo Metzger, D.D.S.
- Dentist
- Ames, IA
National Provider Identifier
1104010552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08619
- Practice address
- 1015 Duff Ave
Ames, IA 50010-5733 - Phone
- (515) 232-4236
- NPI assigned
- Aug 29, 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 | 08619 | IA | Primary |
Addresses
Primary practice location
1015 Duff Ave
Ames, IA 50010-5733
Mailing address
1015 Duff Ave
Ames, IA 50010-5733
Phone (515) 232-4236
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 |
|---|---|---|---|
| 08619 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1104010552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105733",
"telephone_number": "515-232-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105733",
"telephone_number": "515-232-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "REBECCA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.