Active NPI
Rocky Mountain Family Dental
- Dentist
- Cody, WY
National Provider Identifier
1629483813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1384
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.