Individual provider Active NPI

Rebecca Ranko Paccone, D.M.D.

  • General Practice Dentistry
  • Revere, MA
National Provider Identifier
1740495118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18404 Issued in PA
Practice address
123 Revere St
Revere, MA 02151-4439
Phone
(781) 284-6826
Fax
(781) 284-1171
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18404 PA Primary

Addresses

Primary practice location

123 Revere St
Revere, MA 02151-4439

Mailing address

123 Revere St
Revere, MA 02151-4439
Phone (781) 284-6826

Other names 1

  • Dr. Rebecca Marie Ranko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18404PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740495118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514439",
            "telephone_number": "781-284-6826",
            "fax_number": "781-284-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514439",
            "telephone_number": "781-284-6826",
            "fax_number": "781-284-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACCONE",
        "first_name": "REBECCA",
        "middle_name": "RANKO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "18404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RANKO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.