Active NPI
Rebecca Laura Delyser, RDH
- Dental Hygienist
- Lyons, NY
National Provider Identifier
1558858548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 025107-1
- Practice address
- 1519 Nye Rd
Lyons, NY 14489-9133 - Phone
- (315) 871-3178
- NPI assigned
- Apr 16, 2018
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 025107-1 | NY | Primary |
Addresses
Primary practice location
1519 Nye Rd
Lyons, NY 14489-9133
Mailing address
7585 Bear Swamp Rd
Williamson, NY 14589-9638
Phone (585) 944-9419
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 |
|---|---|---|---|
| 025107-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1558858548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7585 BEAR SWAMP RD",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899638",
"telephone_number": "585-944-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 NYE RD",
"city": "LYONS",
"state": "NY",
"postal_code": "144899133",
"telephone_number": "315-871-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELYSER",
"first_name": "REBECCA",
"middle_name": "LAURA",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "025107-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyons, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.