Rebecca Louise Dewolf Felices, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D12909 Issued in MN

Practice address

2442 County Highway 10
Mounds View, MN 55112

Phone

(763) 316-5400

Fax

(763) 780-9005

NPI assigned

May 29, 2009

Last updated

Oct 2, 2014By 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 MN

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

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.

• Woodland Familydentistry

  • Dental Clinic/Center
  • Brooklyn Park, MN
  • NPI 1487497053
  NPD Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1154556561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 COUNTY HIGHWAY 10",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "763-316-5400",
            "fax_number": "763-316-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 COUNTY HIGHWAY 10",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "763-316-5400",
            "fax_number": "763-780-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLF FELICES",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855129",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Cristina Astudillo, DDS
• Axis Minnesota, Inc.
• Nathan Buck, DC
• Shana Marie Buerck, LDH, DT
• Crosstown Drug
• Jenell Fransen, CD
• Gia Sena Health Services LLC (Gia Sena Health Services)
• Brenda Gail Grewell, L AC
• Matthew Thomas Hanowski, DDS
• Kco Home Health Care LLC

• Dentist in Mounds View, MN
• Providers in Mounds View, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.