Individual provider Active NPI

Rebecca J Downie, DDS

  • Dentist
  • Tampa, FL
National Provider Identifier
1902065998
Registry record updated Dec 2, 2015
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
FD0856584 Issued in FL
Practice address
3109 W Swann Ave Ste B
Tampa, FL 33609-4701
Phone
(813) 803-5767
Fax
(813) 867-4170
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X FD0856584 FL Primary

Addresses

Primary practice location

3109 W Swann Ave Ste B
Tampa, FL 33609-4701

Mailing address

3109 W Swann Ave Ste B
Tampa, FL 33609-4701
Phone (813) 803-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228002087 FL Order and Referring Only - DentistPractitioner - Dentist 3577864081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1902065998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W SWANN AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094701",
            "telephone_number": "813-803-5767",
            "fax_number": "813-867-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W SWANN AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094701",
            "telephone_number": "813-803-5767",
            "fax_number": "813-867-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNIE",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FD0856584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.