Rebecca Ann Hup, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12922 Issued in MN

Practice address

1419 Cloquet Ave
Cloquet, MN 55720-1943

Phone

(605) 212-3286

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

Yes

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

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.

• Luverne Family Dental, PLLC

  • Dentist
  • Luverne, MN
  • NPI 1992399224
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1598059008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 BROOKS DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558119641",
            "telephone_number": "605-212-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201943",
            "telephone_number": "605-212-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Main St",
            "address_purpose": "LOCATION",
            "city": "Luverne",
            "state": "MN",
            "postal_code": "561561830",
            "country_code": "US",
            "telephone_number": "507-283-9129",
            "fax_number": "507-283-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUP",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy G Homstad, MSW, LICSW
• Jane M. L. Howard, MSE, LP
• Katie Hughes
• Mark D Hunt, MA, LPCC
• Bryan Paul Hunter, APRN, CRNA
• Ryan K Hursh, APRN, CNP
• Steffan Immerfall
• Independent School District 93 Carlton County
• Kijsa Irwin, RN AND CFCN
• Kathleen Ann Jarve, LGSW

• General Practice Dentistry in Cloquet, MN
• Providers in Cloquet, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.