Individual provider Active NPI

Rebecca Erine Rores, DMD

  • Dentist
  • Sparks, NV
National Provider Identifier
1750546578
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5592 Issued in NV
Practice address
475 Sparks Blvd
Sparks, NV 89434-9002
Phone
(775) 359-1565
Fax
(775) 359-1597
NPI assigned
Jul 21, 2008
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5592 NV Primary
General Practice Dentistry 1223G0001X 58066 CA

Addresses

Primary practice location

475 Sparks Blvd
Sparks, NV 89434-9002

Mailing address

475 Sparks Blvd Ste 101
Sparks, NV 89434-9002
Phone (775) 359-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20160923000734 NV Order and Referring Only - DentistPractitioner - Dentist 0941597645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5592NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shahrestani Sparks Marina Dentistry, PC General Practice 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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1750546578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SPARKS BLVD STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349002",
            "telephone_number": "775-359-1565",
            "fax_number": "775-359-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349002",
            "telephone_number": "775-359-1565",
            "fax_number": "775-359-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORES",
        "first_name": "REBECCA",
        "middle_name": "ERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5592",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.