Jerry Rebrey

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5627 Issued in NC

Practice address

1710 Walker St
Suite 1
Salisbury, NC 28144-2549

Phone

(704) 633-0551

NPI assigned

Aug 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1447443916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAHALEY AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442631",
            "telephone_number": "704-637-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 WALKER ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442549",
            "telephone_number": "704-633-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBREY",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Shapiro Rappaport, MD
• Deanna Rattray
• Breanne Rauscher, DPT
• Pragathi Ravi, MD
• RDMG Associates, PA
• Dennis George Redfern, PHYSICIAN ASSISTANT
• Dustin Lee Reece, O.D., F.A.A.O.
• Lesley Simmons Reece, MSW
• Caitlin Reed
• Harold Reeder, L.C.S.W.

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.