Organization Active NPI

Rocky Mountain Family Dental

  • Dentist
  • Cody, WY
National Provider Identifier
1629483813
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1384 Issued in WY
Legal business name
ROCKY MOUNTAIN FAMILY DENTAL
Practice address
956 12TH St
Cody, WY 82414-3602
Phone
(307) 587-5588
Fax
(307) 587-7123
NPI assigned
Jun 25, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Laci Dawn Rector, DDS,PC
Title
Dentist
Phone
(307) 587-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1384 WY Primary

Addresses

Primary practice location

956 12TH St
Cody, WY 82414-3602

Mailing address

956 12TH St
Cody, WY 82414-3602
Phone (307) 587-5588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1629483813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 12TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143602",
            "telephone_number": "307-587-5588",
            "fax_number": "307-587-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 12TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143602",
            "telephone_number": "307-587-5588",
            "fax_number": "307-587-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "LACI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-587-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WY",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.