Active NPI
Rebecca Stuart Donnelson, D.D.S.
- Pediatric Dentistry
- Carmel, IN
National Provider Identifier
1285852020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12007462
- Practice address
- 13450 N Meridian St Ste 363
Carmel, IN 46032-7120 - Phone
- (317) 846-5893
- Fax
- (317) 846-5878
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12007462 | IN | Primary |
Addresses
Primary practice location
13450 N Meridian St Ste 363
Carmel, IN 46032-7120
Mailing address
13450 N Meridian St Ste 363
Carmel, IN 46032-7120
Phone (317) 846-5893
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 |
|---|---|---|---|
| 12007462 | IN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285852020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13450 N MERIDIAN ST STE 363",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327120",
"telephone_number": "317-846-5893",
"fax_number": "317-846-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13450 N MERIDIAN ST STE 363",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327120",
"telephone_number": "317-846-5893",
"fax_number": "317-846-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELSON",
"first_name": "REBECCA",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12007462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.