Individual provider Active NPI

Rebecca Lynn Metherd, RDH

  • Dental Hygienist
  • Erie, CO
National Provider Identifier
1750518965
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
905158 Issued in CO
Practice address
3140 Village Vista Dr
Suite 108
Erie, CO 80516-2527
Phone
(303) 604-0034
Fax
(303) 604-0032
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 905158 CO Primary

Addresses

Primary practice location

3140 Village Vista Dr
Suite 108
Erie, CO 80516-2527

Mailing address

140 Sage Dr
Brighton, CO 80601-4511
Phone (970) 380-7305

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
905158COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Ridge Dental Care, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1750518965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAGE DR",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014511",
            "telephone_number": "970-380-7305",
            "fax_number": "303-604-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 VILLAGE VISTA DR",
            "address_2": "SUITE 108",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162527",
            "telephone_number": "303-604-0034",
            "fax_number": "303-604-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHERD",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.