Active NPI
Rebecca T Wheeler, DMD
- Pediatric Dentistry
- Nicholasville, KY
National Provider Identifier
1568545671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- KY 6755 KYSL 674
- Practice address
- 106 Fairfield Drive
Nicholasville, KY 40356 - Phone
- (859) 885-0086
- Fax
- (859) 885-1290
- NPI assigned
- Oct 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | KY 6755 KYSL 674 | KY | Primary |
| Dentist | 122300000X | KY 6755 KYSL 674 | KY |
Addresses
Primary practice location
106 Fairfield Drive
Nicholasville, KY 40356
Mailing address
106 Fairfield Drive
Nicholasville, KY 40356
Phone (859) 885-0086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000601 | Medicaid | KY | |
| 7100101220 | Medicaid | KY |
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 |
|---|---|---|---|
| KY 6755 KYSL 674 | KY | MD | Dentist |
| KY 6755 KYSL 674 | KY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1568545671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FAIRFIELD DRIVE",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-885-0086",
"fax_number": "859-885-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FAIRFIELD DRIVE",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-885-0086",
"fax_number": "859-885-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "REBECCA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "KY 6755 KYSL 674",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "KY 6755 KYSL 674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60000601",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100101220",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.