Individual provider Active NPI

Rebecca F Groomes, D.D.S.

  • General Practice Dentistry
  • Dade City, FL
National Provider Identifier
1780959908
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15978 Issued in FL
Practice address
37149 Florida Ave
Dade City, FL 33525-4625
Phone
(352) 567-2997
Fax
(352) 567-3284
NPI assigned
Mar 21, 2012
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 DN15978 FL Primary

Addresses

Primary practice location

37149 Florida Ave
Dade City, FL 33525-4625

Mailing address

37149 Florida Ave
Dade City, FL 33525-4625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150216001190 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153646161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Groomes Dental P.a. General Practice CurrentSince Aug 11, 2024 Accepting new patients

Locations

37149 Florida Ave
Dade City, FL 33525
Phone (352) 567-2997

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1780959908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625",
            "telephone_number": "352-567-2997",
            "fax_number": "352-567-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMES",
        "first_name": "REBECCA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.