Rebecca Suzanne Misner, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN00009208 Issued in CO

Practice address

15121 E Mississippi Ave
Aurora, CO 80012-3746

Phone

(303) 802-1022

Fax

(303) 802-1023

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Misner DMD Professional Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1669849360
  NPD (past) Authorized official
• Akvc North LLC

  • Medical Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1013330208
  NPD (past)
• Hero Vision of Denver LLC

  • Optometrist
  • Denver, CO
  • NPI 1962762765
  NPD (past)
• Hero Dental of Washington DC PC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1285811224
  NPD (past)
• Hero Vision of DC PLLC

  • Optometrist
  • Washington, DC
  • NPI 1669010989
  NPD (past)
• Michael G Pharris OD PC

  • Optometrist
  • Baltimore, MD
  • NPI 1205006145
  NPD (past)
• Ronald B Montano DDS PC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1629251228
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1851476089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123746",
            "telephone_number": "303-802-1022",
            "fax_number": "303-802-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 W Pratt St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212232684",
            "country_code": "US",
            "telephone_number": "410-727-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90063",
            "country_code": "US",
            "telephone_number": "323-332-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISNER",
        "first_name": "REBECCA",
        "middle_name": "SUZANNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61146",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60310664",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "NM",
            "license": "DD3822",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00009208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185147089",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851476089",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85752011",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20113080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Mirsky, MD
• Anthony Misciasci
• Misha1
• Bessie Sue Mishra, RN
• Gregory Misky, MD
• Cassandra Lyn Missad
• Mississippi Dental Group P.C.
• Hayato Mitaka, MD
• Breana C Mitchell, NP
• Brittany Mitchell, DDS, MS

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.