Individual provider Active NPI

Rebekah Lucier Pryles, D.M.D

  • Endodontics
  • White River Junction, VT
National Provider Identifier
1376806570
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
93923 Issued in VT
Practice address
205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400
Phone
(802) 295-7522
Fax
(802) 296-2012
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855808 MA
Endodontics 1223E0200X 93923 VT Primary

Addresses

Primary practice location

205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400

Mailing address

205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400
Phone (802) 295-7522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Opted out of Medicare
Yes, effective Jun 30, 2026 through Jun 30, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329002331 VT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729305412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855808MAMDDentist
93923VTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Endodontics Endodontics Past Accepting new patients
John D. Dresser, DMD, PC Endodontics 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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1376806570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 6A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522",
            "fax_number": "802-296-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 6A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522",
            "fax_number": "802-296-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYLES",
        "first_name": "REBEKAH",
        "middle_name": "LUCIER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855808",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "93923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.