NPIMap

Organization Active NPI

Rebecca R. Steves, DMD, PC

  • Dentist
  • Corry, PA
National Provider Identifier
1194902189
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DSO38747 Issued in PA
Legal business name
REBECCA R. STEVES, DMD, PC
Practice address
983 N Center St
Corry, PA 16407-1228
Phone
(814) 664-4011
Fax
(814) 664-9376
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mrs. Autumn M Brunst
Title
Business Coordinator
Phone
(814) 664-4011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DSO38747 PA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DSO19110L PA

Addresses

Primary practice location

983 N Center St
Corry, PA 16407-1228

Mailing address

983 N Center St
Corry, PA 16407-1228
Phone (814) 664-4011

Other identifiers 1

IdentifierTypeStateIssuer
1015262710001OtherPAMEDICAL ASSISTANCE

Other names 1

  • Healthy Smiles of Corry Doing business as

National Provider Directory

National Provider Directory

Locations

983 N Center St
Corry, PA 16407
Phone (814) 664-4011

Practitioners & affiliated clinicians

Practitioners 3

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1194902189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071228",
            "telephone_number": "814-664-4011",
            "fax_number": "814-664-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071228",
            "telephone_number": "814-664-4011",
            "fax_number": "814-664-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA R. STEVES, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "BRUNST",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "814-664-4011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO38747",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO19110L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1015262710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles of Corry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.