Rebecca Lynne Fahning, RDH, BS, IBCLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H5749 Issued in MN

Practice address

13410 Canalville LN
Grasston, MN 55030-2162

Phone

(651) 894-4391

Fax

(320) 629-3366

NPI assigned

Sep 25, 2007

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Healthy Teeth Club

  • Dental Hygienist
  • Grasston, MN
  • NPI 1093044869
  NPD (past) Authorized official
• Healthy Teeth Club

  • Dental Hygienist
  • Grasston, MN
  • NPI 1740510510
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1841486776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 CANALVILLE LN",
            "city": "GRASSTON",
            "state": "MN",
            "postal_code": "550302162",
            "telephone_number": "651-894-4391",
            "fax_number": "320-629-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 CANALVILLE LN",
            "city": "GRASSTON",
            "state": "MN",
            "postal_code": "550302162",
            "telephone_number": "651-894-4391",
            "fax_number": "320-629-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNING",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RDH, BS, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H5749",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ackerman
• Skylar Jean Anderson
• Stephanie Kay Brozek
• Healthy Teeth Club
• Healthy Teeth Club
• Elisabeth Mae Salzwedel, SBD, MCD, MCPD
• Kelli Marie Sundet, RN

• Dental Hygienist in Grasston, MN
• Providers in Grasston, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.