Organization Active NPI

Rebecca T. Wheeler, DMD

  • Pediatric Dentistry
  • Nicholasville, KY
National Provider Identifier
1871857813
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6755 Issued in KY
Legal business name
REBECCA T. WHEELER, DMD
Practice address
106 Fairfield Dr
Nicholasville, KY 40356-8842
Phone
(859) 885-0086
Fax
(859) 885-1290
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Rebecca T Wheeler
Title
Owner/Dentist
Phone
(859) 885-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6755 KY Primary

Addresses

Primary practice location

106 Fairfield Dr
Nicholasville, KY 40356-8842

Mailing address

106 Fairfield Dr
Nicholasville, KY 40356-8842
Phone (859) 885-0086

Other identifiers 1

IdentifierTypeStateIssuer
60000601MedicaidKY

National Provider Directory

National Provider Directory

Locations

106 Fairfield Dr
Nicholasville, KY 40356
Phone (859) 885-0086

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1871857813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FAIRFIELD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568842",
            "telephone_number": "859-885-0086",
            "fax_number": "859-885-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FAIRFIELD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568842",
            "telephone_number": "859-885-0086",
            "fax_number": "859-885-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA T. WHEELER, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "859-885-0086",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "6755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000601",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.