Rebecca Lynn Dunn, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

618 Saint Louis St
Edwardsville, IL 62025-1504

Phone

(618) 692-6414

Fax

(618) 656-8311

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rebecca Dunn Bradley Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992823934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SAINT LOUIS ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251504",
            "telephone_number": "618-692-6414",
            "fax_number": "618-656-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SAINT LOUIS ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251504",
            "telephone_number": "618-692-6414",
            "fax_number": "618-656-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BRADLEY",
            "middle_name": "DUNN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Wayne Dowdy, DC
• Keidron Nicole Duckwitz, RN
• Teri Dudley, DNP, RN, NE-BC
• Katelyn Duniphan
• David Scott Dunivan, D.M.D.,M.S.
• Cheyenne Renee Durham, OT
• Carolyn Jean Duvall, LCSW
• Jaime Sue Dwiggins
• Kelsey L Dyer, RBT
• Eat Practical LLC

• Dentist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.