Individual provider Active NPI

Rebecca L Foss, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1376771519
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011323A Issued in IN
Practice address
9751 Fall Creek Rd
Indianapolis, IN 46256-4713
Phone
(317) 842-1090
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12011323A IN Primary

Addresses

Primary practice location

9751 Fall Creek Rd
Indianapolis, IN 46256-4713

Mailing address

9751 Fall Creek Rd
Indianapolis, IN 46256-4713
Phone (317) 842-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150514000231 IN Order and Referring Only - DentistPractitioner - Dentist 2163742230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011323AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sedwick Dental, LLC Past Accepting new patients
Fall Creek Family Dental General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1376771519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 FALL CREEK RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564713",
            "telephone_number": "317-842-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 FALL CREEK RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564713",
            "telephone_number": "317-842-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011323A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.