Individual provider Active NPI

Rebecca A Faunce, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Coast, FL
National Provider Identifier
1508965146
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN12690 Issued in FL
Practice address
160 Cypress Point Pkwy
# D-217
Palm Coast, FL 32164-8433
Phone
(386) 446-9312
Fax
(386) 446-9313
NPI assigned
Sep 21, 2006
Last updated
Aug 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN12690 FL Primary

Addresses

Primary practice location

160 Cypress Point Pkwy
# D-217
Palm Coast, FL 32164-8433

Mailing address

160 Cypress Point Pkwy
# D-217
Palm Coast, FL 32164-8433
Phone (386) 446-9312

Other names 1

  • Rebecca A Faunce Professional name

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
DN12690FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1508965146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY",
            "address_2": "# D-217",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648433",
            "telephone_number": "386-446-9312",
            "fax_number": "386-446-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY",
            "address_2": "# D-217",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648433",
            "telephone_number": "386-446-9312",
            "fax_number": "386-446-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUNCE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN12690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FAUNCE",
            "middle_name": "A",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.