Active NPI
Rebecca Vera, DMD
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1962374942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN123854
- Practice address
- 3951 Mary Eliza Trce NW Ste 200
Marietta, GA 30064-1078 - Phone
- (770) 800-0290
- NPI assigned
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123854 | GA | Primary |
Addresses
Primary practice location
3951 Mary Eliza Trce NW Ste 200
Marietta, GA 30064-1078
Mailing address
2838 Braemore PL
Powder Springs, GA 30127-1754
Phone (404) 216-2147
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123854 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1962374942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 BRAEMORE PL",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271754",
"telephone_number": "404-216-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3951 MARY ELIZA TRCE NW STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641078",
"telephone_number": "770-800-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-19",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.