Individual provider Active NPI

Rebecca Acton, DMD

  • Dentist
  • Blue Grass, IA
National Provider Identifier
1881180792
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7491 Issued in NE
Practice address
133 E Mayne St
Blue Grass, IA 52726-9718
Phone
(563) 381-4830
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7491 NE Primary

Addresses

Primary practice location

133 E Mayne St
Blue Grass, IA 52726-9718

Mailing address

133 E Mayne St
Blue Grass, IA 52726-9718

Other practice location 1

5006 Dodge St
Omaha, NE 68132-2920
Phone (402) 554-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7491NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MRB Enterprises PC Dentist PastSince Sep 24, 2023 Accepting new patients
Summit Dental Health - Center LLC Past Accepting new patients
Summit Dental Associates Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1881180792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAYNE ST",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAYNE ST",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269718",
            "telephone_number": "563-381-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Dodge St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681322920",
            "country_code": "US",
            "telephone_number": "402-554-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACTON",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Grass, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.