Individual provider Active NPI

Kevin M Rebhan, D.D.S.

  • General Practice Dentistry
  • Zeeland, MI
National Provider Identifier
1841362902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15626 Issued in MI
Practice address
25 N State St
Zeeland, MI 49464-1210
Phone
(616) 772-2868
Fax
(676) 772-4805
NPI assigned
Nov 14, 2006
Sex
Male
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 15626 MI Primary

Addresses

Primary practice location

25 N State St
Zeeland, MI 49464-1210

Mailing address

25 N State St
Zeeland, MI 49464-1210
Phone (616) 772-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160607000744 MI Order and Referring Only - DentistPractitioner - Dentist 7810287679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15626MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Z F Dental Group PLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841362902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N STATE ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641210",
            "telephone_number": "616-772-2868",
            "fax_number": "676-772-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N STATE ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641210",
            "telephone_number": "616-772-2868",
            "fax_number": "676-772-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.