NPIMap

Organization Active NPI

Jeffrey a. Rector, D.D.S., LLC

  • Pediatric Dentistry
  • Muncie, IN
National Provider Identifier
1104095116
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JEFFREY A. RECTOR, D.D.S., LLC
Practice address
3905 N Wheeling Ave
Muncie, IN 47304-1769
Phone
(765) 286-4017
NPI assigned
Feb 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Authorized official

Name
Dr. Jeffrey Allen Rector, D.D.S.NPI 1811904303
Title
Member
Phone
(765) 286-4017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3905 N Wheeling Ave
Muncie, IN 47304-1769

Mailing address

3905 N Wheeling Ave
Muncie, IN 47304-1769
Phone (765) 286-4017

Other identifiers 1

IdentifierTypeStateIssuer
1811904303OtherJEFFREY A. RECTOR 'S NPI

National Provider Directory

National Provider Directory

Locations

3905 N Wheeling Ave
Muncie, IN 47304
Phone (765) 286-4017

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203724800000",
    "number": "1104095116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041769",
            "telephone_number": "765-286-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041769",
            "telephone_number": "765-286-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. RECTOR, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-286-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFFREY A. RECTOR 'S NPI",
            "identifier": "1811904303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.