Active NPI
Rebecca Mynette Long, DDS
- Dentist
- Charleston, WV
National Provider Identifier
1982993085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2852
- Practice address
- 871 Oakwood Rd
Charleston, WV 25314-2057 - Phone
- (304) 344-4430
- Fax
- (304) 345-4801
- NPI assigned
- Mar 30, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2852 | WV | Primary |
Addresses
Primary practice location
871 Oakwood Rd
Charleston, WV 25314-2057
Mailing address
871 Oakwood Rd
Charleston, WV 25314-2057
Phone (304) 344-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
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": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1982993085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 OAKWOOD RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142057",
"telephone_number": "304-344-4430",
"fax_number": "304-345-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 OAKWOOD RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142057",
"telephone_number": "304-344-4430",
"fax_number": "304-345-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "REBECCA",
"middle_name": "MYNETTE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.