Individual provider Active NPI

Rebecca Runyan Temp, DMD

  • Dentist
  • Yuma, AZ
National Provider Identifier
1841437852
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7591 Issued in AZ
Practice address
2179 W 24TH St
Yuma, AZ 85364-6163
Phone
(928) 782-4707
Fax
(928) 782-2212
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7591 AZ Primary

Addresses

Primary practice location

2179 W 24TH St
Yuma, AZ 85364-6163

Mailing address

PO Box 21724
Mesa, AZ 85277-1724
Phone (928) 782-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150706000082 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406168475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7591AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1841437852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21724",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852771724",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646163",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMP",
        "first_name": "REBECCA",
        "middle_name": "RUNYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.