Rebecca J De la Rosa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1200-9226 Issued in IN

Practice address

7318 E. U.S. 36
Suite 100
Avon, IN 46123

Phone

(317) 272-7715

Fax

(317) 272-7719

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Rebecca J de la Rosa, D.D.S., P.C.

  • General Practice Dentistry
  • Avon, IN
  • NPI 1861557415
  NPD (past) Authorized official
• Abigail H Mitchell, DDS, LLC

  • General Practice Dentistry
  • Avon, IN
  • NPI 1982464509
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669537213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 E. U.S. 36",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7715",
            "fax_number": "317-272-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 E. U.S. 36",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7715",
            "fax_number": "317-272-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1200-9226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Nichole Davis, PA
• Malinda Davis
• Paul Edward Davis II, MSW
• Quenn S Davis
• Christian C Dawes, DO
• Lorin Elizabeth Dean, MSW
• Angela A Debord Henriksen, MD
• Kaylyn Tiara Marie Debow
• Terry Jean Decker, RPH
• Stephanie Rene Deel, MSW, LSW

• General Practice Dentistry in Avon, IN
• Providers in Avon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.