Active NPI
Rebecca A Faunce, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Palm Coast, FL
National Provider Identifier
1508965146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN12690
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN12690 | FL | MD | Orthodontics 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.