Rebecca F. Lucke, DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3139 Issued in AR

Legal business name

REBECCA F. LUCKE, DDS,PA

Practice address

615 E Appleby Rd
Fayetteville, AR 72703-3914

Phone

(479) 582-1312

Fax

(479) 582-1355

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca F Lucke, DDS

Title

Owner

Phone

(479) 582-1312

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Josephine Anna Koch, DDS

  • Dentist
  • Fayetteville, AR
  • NPI 1881388171

  General Practice

  NPD (past)
• Brooke Overbey, DDS

  • General Practice Dentistry
  • Camden, TN
  • NPI 1801388814
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1871682500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033914",
            "telephone_number": "479-582-1312",
            "fax_number": "479-582-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033914",
            "telephone_number": "479-582-1312",
            "fax_number": "479-582-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA F. LUCKE, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "LUCKE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-582-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "5F476",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RCB, PLLC
• Daniel Read
• Joseph Patrick Reagan, MSPT
• Grayson Ream
• Rebecca Carlisle D.D.S. L.L.C.
• Lacount Reber
• Signe L. Rebolledo, M.D.
• Mary Katelyn Record, PHARMD
• Kylia C Rector
• Molly Rector, LAC

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.