Individual provider Active NPI

Rebecca A Schmorr, DDS

  • Dentist
  • Raleigh, NC
National Provider Identifier
1235167347
Registry record updated Apr 6, 2017
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6467 Issued in NC
Practice address
3614 Haworth Dr
Raleigh, NC 27609-7219
Phone
(919) 834-4450
Fax
(919) 833-5865
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6467 NC Primary

Addresses

Primary practice location

3614 Haworth Dr
Raleigh, NC 27609-7219

Mailing address

3614 Haworth Dr
Raleigh, NC 27609-7219
Phone (919) 834-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20151111002178 NC Order and Referring Only - DentistPractitioner - Dentist 4385954999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1235167347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 HAWORTH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097219",
            "telephone_number": "919-834-4450",
            "fax_number": "919-833-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 HAWORTH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097219",
            "telephone_number": "919-834-4450",
            "fax_number": "919-833-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMORR",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.