Rebekah Anne Koon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9886 Issued in TN

Practice address

102 22ND St
Old Hickory, TN 37138-2502

Phone

(615) 847-3088

Fax

(615) 847-8479

NPI assigned

Jul 15, 2014

Last updated

Oct 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marion N Wilson Jr., DDS PC

  • Dentist
  • Old Hickory, TN
  • NPI 1104220334
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1518374271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371380511",
            "telephone_number": "615-847-3088",
            "fax_number": "615-847-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 22ND ST",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382502",
            "telephone_number": "615-847-3088",
            "fax_number": "615-847-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "REBEKAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Eugene Jones
• Annie Kate Kane
• Theresa Khan, MSN, APN, FNP-BC
• Fred Taylor Kimbrell Jr., M.D.
• Taylor Justice King, D.D.S
• Krista M. Clark (Essential Accents)
• Cassandra Elizabeth Worley Leding, DDS
• Autumn Lunsford
• Maness Family Practice
• Joseph Henry Maness, NP

• Dentist in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.