Rebecca A Faunce, DMD | NPI 1508965146

Key facts

NPI: 1508965146
Entity type: Individual (NPI type 1)
Primary specialty: Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License: DN12690 (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
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DN12690	FL	MD	Orthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	DN12690	FL	Yes

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

Rebecca A Faunce Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2009.

{
    "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

All providers in Palm Coast, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.