Active NPI
Rebecca J Gottheimer, RDH
- Dental Hygienist
- Kirtland AFB, NM
National Provider Identifier
1255309274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- NMDH1175
- Practice address
- 377 MDG
2050A Second Street SE
Kirtland AFB, NM 87117-5522 - Phone
- (505) 853-7857
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NMDH1175 | NM | Primary |
Addresses
Primary practice location
377 MDG
2050A Second Street SE
Kirtland AFB, NM 87117-5522
Mailing address
377 MDG
2050A Second Street SE
Kirtland AFB, NM 87117-5522
Phone (505) 853-7857
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 |
|---|---|---|---|
| NMDH1175 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255309274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 MDG",
"address_2": "2050A SECOND STREET SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "505-853-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 MDG",
"address_2": "2050A SECOND STREET SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "505-853-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTHEIMER",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "NMDH1175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirtland AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.