Individual provider Active NPI

Ruben Omar Reyes, DDS

  • Dentist
  • Brewster, WA
National Provider Identifier
1013535566
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61085674 Issued in WA
Practice address
101 6TH St
Brewster, WA 98812-3404
Phone
(509) 689-3789
NPI assigned
Jul 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TP61087052 WA
General Practice Dentistry 1223G0001X DE61085674 WA
Dentist 122300000X DE61085674 WA Primary

Addresses

Primary practice location

101 6TH St
Brewster, WA 98812-3404

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626

Other practice location 1

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9026

Other practice location 2

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 3

2000 116th Ave NE
Bellevue, WA 98004-3047
Phone (425) 998-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000288 WA Order and Referring Only - DentistPractitioner - Dentist 4789038266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61085674WAMDDentist
TP61087052WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruben O Reyes PLLC Dentist Current Accepting new patients
Ruben Reyes DDS PLLC General Practice Current Accepting new patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients
Family Health Centers PastSince Oct 30, 2022 Accepting new patients
Sea Mar Specialty Dental Group Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1013535566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 6TH ST",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988123404",
            "telephone_number": "509-689-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "98802",
            "country_code": "US",
            "telephone_number": "509-884-9026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Orondo Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043047",
            "country_code": "US",
            "telephone_number": "425-998-5090",
            "fax_number": "425-998-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "RUBEN",
        "middle_name": "OMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "TP61087052",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61085674",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61085674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, WA

Sources for this page

Verify at the official NPI Registry.