Morgan Taylor Rebeck, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1002582-15 Issued in WI

Practice address

400 2ND St S Ste 250
Hudson, WI 54016-1599

Phone

(715) 808-0460

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• New Richmond Kidds Pediatric Dentistry LLC

  • Pediatric Dentistry
  • New Richmond, WI
  • NPI 1508478454
  NPD (past)
• Blaine Kidds Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Blaine, MN
  • NPI 1538678057
  NPD (past)
• St. Croix Kidds Pediatric Dentistry

  • Pediatric Dentistry
  • White Bear Lake, MN
  • NPI 1407131618
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1184287872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 S WHIPPOORWILL ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025070",
            "telephone_number": "812-236-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST S STE 250",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161599",
            "telephone_number": "715-808-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 N 4th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540177541",
            "country_code": "US",
            "telephone_number": "715-248-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBECK",
        "first_name": "MORGAN",
        "middle_name": "TAYLOR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D14521",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1002582-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Bliss Randolph, LPCC, LPC, LADC
• Mark Hampton Randolph, CSAC, CSIT, LADC
• Ashley Rannells
• Rebecca K Rasmussen, PHARM D
• Sarah Lynn Rasmussen, OTR
• Red Cedar Canyon Assisted Living
• Reformedicine, S.C.
• Refresh Midwest Operations, SC
• Katie Lea Reibel, DPT
• Jeffrey L Reichel, CRNA

• Pediatric Dentistry in Hudson, WI
• Providers in Hudson, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.