Rachel Novotny Ecker, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13799 Issued in MN

Practice address

1021 Bandana Blvd E Ste 121
Saint Paul, MN 55108-5128

Phone

(651) 224-4969

Fax

(651) 223-8047

NPI assigned

Apr 23, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194145573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E STE 121",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085128",
            "telephone_number": "651-224-4969",
            "fax_number": "651-223-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E STE 121",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085128",
            "telephone_number": "651-224-4969",
            "fax_number": "651-223-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6039 Collins Ave Apt 1426",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402254",
            "country_code": "US",
            "telephone_number": "720-771-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKER",
        "first_name": "RACHEL",
        "middle_name": "NOVOTNY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN20690",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "13799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Ebert
• Parker M Eberwein, MD
• Ebh Capital Inc.
• Gloria Joy Eby, LPN
• Kelsey Echols, M.D.
• Susan Medlicott Eckfeldt, PH.D.
• Shelby Rae Eckhart
• Kaija Eckholm, PT, DPT
• Michelle Ecklund
• Erik Sethre Eckman, M.D.

• Pediatric Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.