Rebecca Lynn Long, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011478 Issued in AZ

Practice address

432 Butterfield Rd
Chino Valley, AZ 86323-5613

Phone

(928) 636-1565

NPI assigned

Jun 29, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• R.Long Smiles, PLLC

  • Dental Clinic/Center
  • Prescott, AZ
  • NPI 1306773742
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1558093211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 FOOTHILL DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035539",
            "telephone_number": "562-242-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BUTTERFIELD RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235613",
            "telephone_number": "928-636-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chinovalley@horizondental.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "432 Butterfield Rd",
            "city": "Chino Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863235613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Killian, RN, BSN
• Maryann Kozel
• Labortaory Corporation of America
• Phung Le
• Lone Tree Physical Therapy LLC
• Gayle Ellyn Lukeman, LMFT, LPCC
• M & M Eye Institute, PLC
• Malin Medical, PLLC
• Kerry D Malin, PA-C
• Maritza Sanchez-Salazar DDS, PLC

• General Practice Dentistry in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.