NPIMap

Organization Active NPI

Reen & Reen DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Springfield, MA
National Provider Identifier
1013027473
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10346 Issued in MA
Legal business name
REEN & REEN DMD PC
Practice address
46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646
Phone
(413) 733-2477
Fax
(413) 736-9010
NPI assigned
Aug 30, 2006
Last updated
Sep 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REEN & REEN DMD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

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

Authorized official

Name
Dr. David Brian Reen, DMD MSNPI 1386754752
Title
President
Phone
(413) 733-2477

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12908 MD
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10346 MA Primary

Addresses

Primary practice location

46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646

Mailing address

46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646
Phone (413) 733-2477

Other identifiers 1

IdentifierTypeStateIssuer
9733981MedicaidMA

National Provider Directory

National Provider Directory
Part of
Reen Reen DMD PC

Locations

46 Daggett Dr
Ste 1B
West Springfield, MA 01089
Phone (413) 733-2477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221264000000",
    "number": "1013027473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DRIVE",
            "address_2": "SUITE 1B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894646",
            "telephone_number": "413-733-2477",
            "fax_number": "413-736-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DRIVE",
            "address_2": "SUITE 1B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894646",
            "telephone_number": "413-733-2477",
            "fax_number": "413-736-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEN & REEN DMD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REEN & REEN DMD PC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-09-13",
        "status": "A",
        "authorized_official_last_name": "REEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-733-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12908",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "10346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.