NPIMap

Organization Active NPI

River Valley Endodontics PA

  • Endodontics
  • Stillwater, MN
National Provider Identifier
1013001031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D10710 Issued in MN
Legal business name
RIVER VALLEY ENDODONTICS PA
Practice address
2600 Wild Pines Lane
Stillwater, MN 55082-5420
Phone
(651) 439-8085
Fax
(651) 439-9705
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ernest S Reeh, DDS MS PHDNPI 1528152550
Title
Owner
Phone
(651) 439-8085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X D10710 MN Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X D10281 MN

Addresses

Primary practice location

2600 Wild Pines Lane
Stillwater, MN 55082-5420

Mailing address

2600 Wild Pines Lane
Stillwater, MN 55082-5420
Phone (651) 439-8085

National Provider Directory

National Provider Directory

Locations

2600 Wildpines Ln
Stillwater, MN 55082
Phone (651) 439-8085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013001031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WILD PINES LANE",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825420",
            "telephone_number": "651-439-8085",
            "fax_number": "651-439-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILD PINES LANE",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825420",
            "telephone_number": "651-439-8085",
            "fax_number": "651-439-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY ENDODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEH",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-439-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS PHD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D10710",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D10281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.