NPIMap

Organization Active NPI

Rebecca J de la Rosa, D.D.S., P.C.

  • General Practice Dentistry
  • Avon, IN
National Provider Identifier
1861557415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1200--9226 Issued in IN
Legal business name
REBECCA J DE LA ROSA, D.D.S., P.C.
Doing business as
Avon Family Dentistry
Practice address
7318 E. U.S. 36
Suite 100
Avon, IN 46123
Phone
(317) 272-7715
Fax
(317) 272-7719
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca J De la Rosa, D.D.S.NPI 1669537213
Title
President
Phone
(317) 272-7715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1200--9226 IN Primary

Addresses

Primary practice location

7318 E. U.S. 36
Suite 100
Avon, IN 46123

Mailing address

7318 E. U.S. 36
Suite 100
Avon, IN 46123
Phone (317) 272-7715

Other names 1

  • Avon Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861557415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 E. U.S. 36",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7715",
            "fax_number": "317-272-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 E. U.S. 36",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7715",
            "fax_number": "317-272-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA J DE LA ROSA, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-272-7715",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1200--9226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.