Individual provider Active NPI

Rebecca S Ahlers, DDS

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1356996961
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104095 Issued in CA
Practice address
2710 N Grand Ave
Santa Ana, CA 92705
Phone
(714) 602-6327
Fax
(714) 602-6275
NPI assigned
Aug 9, 2019
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104095 CA Primary

Addresses

Primary practice location

2710 N Grand Ave
Santa Ana, CA 92705

Mailing address

18377 Beach Blvd Ste 328
Huntington Beach, CA 92648-1350
Phone (714) 602-6327

Other practice location 1

16900 Lakewood Blvd Ste 306
Bellflower, CA 90706-5580
Phone (562) 867-5191

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

LicenseStateTypeSpecialty
104095CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ismile Dental Group of Rebecca S. Ahlers, DDS. Inc. CurrentSince Dec 16, 2020 Accepting new patients
Milagros Macaraig DDS Dental Service Inc Past Accepting new patients
Santa Maria Dental Office Inc Past Accepting new patients

Locations

18377 Beach Blvd
Ste 328
Huntington Beach, CA 92648
Phone (714) 602-6327

2710 N Grand Ave
Santa Ana, CA 92705
Phone (714) 202-5648

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1356996961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD STE 328",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481350",
            "telephone_number": "714-602-6327",
            "fax_number": "714-602-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-602-6327",
            "fax_number": "714-602-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16900 Lakewood Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065580",
            "country_code": "US",
            "telephone_number": "562-867-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLERS",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.