Active NPI
Ruben Omar Reyes, DDS
- Dentist
- Brewster, WA
National Provider Identifier
1013535566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61085674
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231003000288 | WA | Order and Referring Only - Dentist | 4789038266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61085674 | WA | MD | Dentist |
| TP61087052 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Family Health Centers | Past | 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.
-
- Dentist
- Phoenix, AZ
- NPI 1982407854
-
- Dental Clinic/Center
- Brewster, WA
- NPI 1649409186
-
- Federally Qualified Health Center (FQHC)
- Bellevue, WA
- NPI 1942665831
Dentist
-
- Specialist
- Bellevue, WA
- NPI 1568981470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.