Active NPI
Krista Marie Rebar, DMD
- General Practice Dentistry
- Olyphant, PA
National Provider Identifier
1225689003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042466
- Practice address
- 505 Sunset Dr
Olyphant, PA 18447-1323 - Phone
- (570) 489-5663
- Fax
- (570) 489-5688
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042466 | PA | Primary |
Addresses
Primary practice location
505 Sunset Dr
Olyphant, PA 18447-1323
Mailing address
505 Sunset Dr
Olyphant, PA 18447-1323
Phone (570) 489-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042466 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebar Dental | Current | Accepting new patients | |
| Dr. Stephen M.Rebar DDS | Current | Accepting new patients |
Locations
505 Sunset Dr
Olyphant, PA 18447
Phone (570) 489-5663
Organizations & group practices 2
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.
-
- Public Health Dentistry
- Olyphant, PA
- NPI 1588287403
-
- Dental Clinic/Center
- Olyphant, PA
- NPI 1245076835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1225689003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SUNSET DR",
"city": "OLYPHANT",
"state": "PA",
"postal_code": "184471323",
"telephone_number": "570-489-5663",
"fax_number": "570-489-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SUNSET DR",
"city": "OLYPHANT",
"state": "PA",
"postal_code": "184471323",
"telephone_number": "570-489-5663",
"fax_number": "570-489-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBAR",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olyphant, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.