Rebecca C. Bryan D.D.S.,P. a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3286 Issued in AR

Legal business name

REBECCA C. BRYAN D.D.S.,P. A.

Practice address

1001 SE 28TH St Ste 7
Bentonville, AR 72712-3206

Phone

(479) 271-9900

Fax

(479) 271-8290

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Rebecca C. Bryan, D.D.S.,P.A.NPI 1225141880

Title

Doctor

Phone

(479) 271-9900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca C Bryan, DDS PA

  • Dentist
  • Bentonville, AR
  • NPI 1225141880
  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1710122403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE 28TH ST STE 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123206",
            "telephone_number": "479-271-9900",
            "fax_number": "479-271-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE 28TH ST STE 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123206",
            "telephone_number": "479-271-9900",
            "fax_number": "479-271-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA C. BRYAN D.D.S.,P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "479-271-9900",
        "authorized_official_credential": "D.D.S.,P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Renee Rasmussen-Stallcup, LPTA
• Kristen Elizabeth Ravi
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• Shana D Ray, MHPP
• Shelly Reaves, LPC, LADAC, MAC, SAP
• Laura D Reed, MHPP
• Lynn Addie Reed
• Alicia Reeves
• Reform Chiropractic PLLC (Reform Chiropractic)
• Regional Therapy, LLC

• General Practice Dentistry in Bentonville, AR
• Providers in Bentonville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.